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American-East Asian 

Cultural Relations 

established by the 




Dr. Li Yuin Tsao 





4339 Delmar Blvd. St. Louis, 




whose radiant life and gentle ministry have made 
our home a Wayside Inn for many of our Lord's 
needy and happy pilgrims. 

"Be not forgetful to entertain strangers : for 
thereby some have entertained angels unawares." 

Hebrews 13 : 10. 


Chapter 1. 
Home and Early Training 

"Lo, children are an heritage of the Lord." 

Mr. Tse Zeh Tsao was born in Chekiang 
Province, China, in the year 1838. It was not his 
privilege to be born into a Christian home, but 
his parents seemed not to have shared the strong 
prejudice against the "foreign religion", which 
was prevalent among most of the people of China 
in that day. 

He was taught, as most Chinese boys of the 
middle class were then taught, by a tutor, who 
usually served a group of neighbors together. 
The girls were deemed incapable of receiving an 
education, and were also quite unworthy of the 
privilege ; for in China, as in all lands where our 
Christ is not known, womanhood is degraded, and 
the birth of a girl is an unhappy event in many 

The boys must first learn the one hundred 
proper names of China, which must be known 
by every man in the land ; later they study Chin- 
ese history and Chinese ethics, contained mostly 
in voluminous writings of their two greatest men, 
Confucius and Mencius. They teach admirable 
ethics, too, in many respects, but alas! they give 
to the student no power for living the doctrines 
taught. Such power belongs only to the living 


God of all the earth, who created the heaven and 
the earth, and who provided a salvation also for 
all people, through the atoning sacrifice on the 
cross of His well-beloved Son, Jesus Christ; who 
rose from the dead, and is able to empower His 
blood-bought children by faith to live holy lives, 
through the power of the Holy Spirit. 

In those days the hours for study were prac- 
tically from sunrise to sunset, with two meals 
daily, and with no consideration for the need of 
physical development, and none for any form of 
recreation. Indeed, the dreadful custom of bind- 
ing the feet of all girls, usually between the ages 
of two and three, brought so much suffering, and 
groaning, and crying, and even death, into the 
homes, that the atmosphere could not be condu- 
cive to play. The awful fear of demons, also, 
early inculcated in every little heart, gave the 
children solemnity of outlook. God's Word says 
"Fear hath torment", and it shows in the faces 
of the Chinese very clearly, while they are still 
in ignorance of the truth. 

Young Tsao of Chekiang grew up in this at- 
mosphere, but at the age of twelve, having mas- 
tered the Chinese studies required at home for 
his age, was sent to the Methodist Mission School 
in Shanghai. Living had come to be fraught with 
much danger in his home village because of the 
fierce fighting being waged all through this prov- 
ince, and through many others during the Tai 
Ping rebellion of 1850. It may have been these 
dangers which led his parents to send the lad to 
a foreign school in the early days ; for even then 
foreigners had a certain protection from their 
home governments, and the students under their 
care shared the protection. 


A school girl in China 

Whatever the immediate occasion for sending 
the lad to a mission school, we are quite sure that 
the blessed Holy Spirit had a large part in it, 
since this lad was clearly called and chosen of God 
to a large ministry in His name among his fellow 
countrymen. This plan of the Heavenly Father 
evidently reached forward also to the next gener- 
ation, including the children that should be born 
and trained in the fear of the Lord, in the Chris- 
tian home later established by this lad. 

The Rev. Walter Lambuth of the Southern 
Methodist Church, was in charge of the school to 
which young Tsao was sent in Shanghai. He was 
a man of large heart and of loving spirit, faithful 
to his risen Lord, by whom he had been called to 
be a "worker together with Himself" in central 
China. Through his gracious ministry the lad 
from Chekiang came to know the Lord Jesus 
Christ, as his Saviour, and his young heart early 
yearned to be one of his Lord's good soldiers. 

Mr. Lambuth evidently watched his Chris- 
tian growth with deep interest, and recognized 
that God had spoken to him in a special way. Mr. 
Lambuth was called home when Tsao was four- 
teen years of age, and he took with him this 
thoughtful boy, and placed him in an excellent 
school in Macon, Georgia. He had not completed 
his education in this school before the Civil War 
broke out in our land. He very naturally took 
his place in the Southern army, and was enlisted 
under General Lee. His life was spared and his 
body preserved through the entire period of bit- 
ter warfare. When he left the army he became 
an apprentice in a Macon printing shop, where 
he learned a self-supporting trade, by which he 
was able to continue his studies. 


During his apprenticeship he attended a For- 
eign Mission Conference, and was greatly im- 
pressed by what he heard. He then and there 
pledged himself for Christian work in China, and 
set about to prepare himself to be an efficient 
herald of the Gospel message to his fellow coun- 
trymen. He succeeded in securing a practical 
education in both medical science and theology be- 
fore he returned to his native land. 

Upon reaching China he found that it would 
be necessary to relearn his native tongue. He 
was soon married to the sister of Rev. Y. K. Yen, 
a pastor of the Episcopal Mission in Shanghai. 
Miss Yen was a zealous Christian, had been edu- 
cated, and was a student of God's Word ; so that 
she was a valuable help meet to the young doctor 
and preacher, and willing to share his trials as 
well as his joys. 

The young couple left Shanghai and settled 
in Soochow, a city reached now in a few hours, 
but then a journey of two or more days was re- 
quired. Here they established a new church, of 
which Mr. Tsao was pastor, while he also labored 
for the healing of body among both the poor and 
the rich for many years. Here six children were 
born to them, two girls and four boys ; the eldest 
and the youngest were girls, and the latter, Li 
Yuin Tsao, was much beloved and petted in the 
large family circle. Theirs was a true Christian 
home, in which the Lord Jesus was held to be the 
Head, and the rightful Lord, and where the chil- 
dren were taught obedience, truthfulness, rever- 
ence and mutual love and consideration for each 

The father was very insistent upon obedience 
to every definite command. His youngest daugh- 


ter told an interesting story illustrating this char- 
acteristic. When two brothers had reached the 
age when silk gowns were appropriate for them 
on certain occasions, the kind father economized 
extremely himself, in order to secure them for the 
boys. When he presented the gowns he expressed 
his pleasure in giving them, made clear to them 
the only occasions upon which they should be 
worn, and with equal emphasis forbade their use 
on any other occasion whatsoever. All went well 
for a time, but at last a great temptation met 
them ; both yielded to it, taking every precaution 
that the father should neither see them nor hear 
of the occurrence. The father did hear, as all 
fathers do in some mysterious way, and he called 
them to account. He talked at length with them 
of the sin of disobedience, and of its awful conse- 
quences, as is plainly pictured more than once in 
God's Word. Then he took the gowns from them, 
and assured them that they would have no silk to 
wear until they were able to buy it for themselves, 
and to wear it on proper occasions. 

The youngest sister, although greatly beloved 
of all, with a sunny disposition, and with an early 
love for the Lord Jesus, was none the less care- 
fully disciplined, in common with the other five 
children. She was always grateful to her par- 
ents for such early training, since it prepares one 
for later giving God, the Heavenly Father, His 
rightful sovereignty in one's life. Would that all 
Christian parents might appreciate their respon- 
sibilities toward their children in this respect! 
There would be much less of lawlessness, and of 
consequent suffering and sorrow. In this Chinese 
home the parents sought thorough Christian edu- 
cation equally for sons and daughters. With the 
exception of one son, who did not care for it, 


all of the children had good Chinese opportunities 
at home, and later were given longer or shorter 
periods of study in the United States. The eldest 
brother has for many years been secretary of the 
Chinese Y. M. C. A. in Shanghai. One brother 
was in official life, and was a prominent railroad 
director for years. Another brother earned a 
Ph. D. in Yale University, and has been in foreign 
diplomatic service ever since. The older daughter 
was, for a few years in early life, in a Methodist 
school for girls in Missouri, preparing to teach. 
After teaching in China for many years with 
much success and blessing, she later had two years 
in Columbia University, in preparation for more 
responsible positions at home. 


A college student in U. S. 

Chapter II. 
Dr. Tsao's Education 

"/ will instruct thee and teach thee in the 

way which thou shall go: I will guide 

thee with mine eye." 

Li Yuin Tsao was educated first in Soochow 
Mission Schools, living in her own home; then 
she spent several years in the well known Mc- 
Tyiere School of Shanghai. Later she studied for 
about three years in a Mission School of Naga- 
saki, Japan ; then returned to McTyiere for teach- 
ing and further study. McTyiere was a school 
of high standing, which has educated many Chin- 
ese girls, who are now prominent in Christian 
and educational work throughout China. It was 
presided over for many years by Miss Helen Rich- 
ardson of St. Louis, who was a woman of high 
culture, and was also very conscious that with- 
out spiritual culture, and a real knowledge of Je- 
sus Christ as Saviour, no girl could be counted 
upon to stand in the home and social atmosphere, 
which would later surround her. Miss Richard- 
son often spoke of Li Yuin Tsao's high standing 
as a student, and of her strong Christian influence 
] in the school, among all classes of students. She 

I was ever keeping before her the high calling in 

! Christ Jesus, which was her birthright. 


As a child, Li Yuin had been deeply inter- 
ested in her father's medical work, was sympa- 
thetic with the sick, and concerned about all who 
were in need of the physical comforts of life. She 
thought, even in her early years, that she would 
like to be able to help folk, as her father did. 


She often talked with her sister and brothers 
about wishing that she might be a doctor, too, 
as her father came home in the evenings to tell 
of some fresh cases of suffering, which had come 
to secure his help. Later in life she frequently 
asked the Lord to open the way for her to study 
medicine, although it seemed a forlorn hope after 
her dear father left them to be with his Lord in 
glory. "But God" is not limited by circumstances 
and conditions, and He is a hearer and an an- 
swerer of prayer. Even while a young girl in 
China was asking Him to open the way for her, 
God was working in the hearts of two of His chil- 
dren across the Pacific Ocean, preparing them to 
carry out His purposes in the life of His chosen 

In 1889 Mr. Hudson Taylor, founder of the 
China Inland Mission, passed through St. Louis, 
on his way to China with some fellow workers, 
and held meetings in the Presbyterian Church of 
which Dr. James H. Brookes was the pastor. No 
Christian could listen to the quiet talks of that 
Spirit-filled man without being either deeply in- 
terested in foreign mission work, or losing close 
fellowship with the Lord, because of disobedience 
to the heavenly vision. So clearly did Mr. Taylor 
set before his audience God's plain commission to 
each believer to spread the Good News about His 
so great salvation, prepared for the whole world, 
and so marvelous were his stories of the awful 
need in China, and of the simple, strong faith of 
many Chinese who had accepted Jesus Christ as 
their Saviour, and of the joy it brought into their 
sad lives, that one's heart was stirred with a great 
yearning to have a share in making Him known in 
pagan lands. 

A medical woman in St. Louis had this vision 

given her, and began for the first time to really 
pray for work in foreign lands. As the years 
passed by, God sent other Bible teachers and for- 
eign missionaries to St. Louis, and often she 
would ask for light about God's plan for her life. 
In 1902 or 1903 Dr. and Mrs. Howard Taylor 
were in St. Louis, and in personal conversation 
with them it was found that there was a large 
opportunity for the doctor and her sister in the 
China Inland Mission, should all conditions be 
found satisfactory, after due examination under 
the Council. Thereafter, more definite prayer for 
guidance was offered, and the two sisters were 
able to commit the whole matter to the Lord. In 
1904 a World's Fair was held in St. Louis, which 
brought to St. Louis Christians a wonderful op- 
portunity for doing foreign mission work at home. 
As one experienced the joy of seeing Chinese, 
Japanese and Filipino men receive the Glad Tid- 
ings of Great Joy, after a short time of teaching 
God's plan of saving folk, so clearly gwen in His 
Word, one felt the strong lure of greater work in 
the native lands of these people. The Holy Spirit 
seemed to lead slowly, but definitely, to the de- 
cision to offer one's self to the Mission. 

Accordingly, in the fall of 1904 the elder sis- 
ter presented herself to the Mission Council for 
examination. The medical examination found an 
old heart lesion, which was considered of sufficient 
importance to question the wisdom of carrying it 
into the Chinese climate. However, it was sug- 
gested, that it might be worth while to test the 
climatic influence by a few months' trial of the 
most favorable parts of the country. After fur- 
ther prayer for guidance, the sisters were led to 
take a trip to the Orient, to see for themselves 
the working of the Mission on the field ; to know 


at first hand, some of the Chinese saints, whose 
lives had proven such an inspiration to the mis- 
sionaries of the China Inland Mission, and to test 
the effect of the climate upon the heart of the one. 

Thus it was brought about that, after mak- 
ing it plain to His children that he had not called 
them to work in China, He led them to consider 
the education of a Chinese Christian girl, for 
medical work among her own people, as their sub- 
stitute. Upon making inquiry among the many 
Christian workers in Shanghai, it was found that 
no other girl than the praying young teacher and 
student, Li Yuin Tsao, was suggested as the most 
promising person for their consideration. "All 
things work together for good to them that love 
God, to them who are the called according to his 
purpose." "We are his workmanship, created in 
Christ Jesus unto good works, which God nath 
before ordained that we should walk in them." 
They were mistaken as to the nature of the work 
God had for them in China, but He made no mis- 
take in taking them there, and in leading them 
into the wonderful joy and privilege of helping 
this beautiful soul, whom He had been preparing 
for a great work among her people, in her prepa- 
ration for part of that work. 

As is usual in such circumstances, when God 
is putting through a plan which shall count much 
for Himself, Satan does all in his power to hinder. 
He tried to hinder by making it seem impossible 
to the young student, and to her family, to change 
plans entered upon before the opportunity for 
medical study had presented itself. Miss Tsao 
was eager to lose no time in taking advantage of 
the coveted open door to the medical education, 
but had made arrangements to teach for the year, 
and felt that she could not honorably withdraw, 


without supplying a substitute who would be ac- 
ceptable. "But God", who alone "doeth wondrous 
things", undertook in her behalf, and within three 
months, and in good time, He provided for an 
honorable release from the engagement, and for 
the full consent of the family to her absence from 
home for the necessary period of time, which 
had been estimated at six years. The dear mother 
was still living, and would greatly miss the com- 
panionship and the daily personal attentions of 
her younger daughter; but as they prayed to- 
gether over it all, she found joy in recognizing 
God's hand in the provision for her daughter. 
And "for the joy that was set before her", she 
gladly made the sacrifice, "looking unto Jesus" for 
grace sufficient to meet the sorrow of the long 

Miss Tsao was not able to complete her pre- 
paration for a prolonged foreign residence in time 
to join her new friends on the voyage across the 
Pacific. But she did find suitable missionaries 
returning on furlough, willing to take good care 
of her and see her safely on her journey to the 
United States. She reached her new home in 
St. Louis in November and found a warm wel- 
come awaiting her there. From that day the Lord 
gave His handmaidens the privilege of watching 
the growth of one of the most beautiful Christian 
souls, which He has ever set apart for Himself in 
definite service, from any land or people. She 
was attractive, with bright face, keen mind and 
open heart, easily adapting herself to American 
ways and American home life. She was eager to 
learn as much as possible in every line of work 
presenting ; ready to share family duties and pri- 
vileges without hesitancy, and especially alert in 
Bible study, in family prayer, and in talks about 


the Word of God which had been read or heard 
the same day. Friends and relatives who had had 
secret fears about the wisdom of bringing an 
Oriental girl into an American family circle, soon 
lost their fears, and fell under the charm of her 
strong personality. 

In China labor was so very cheap at that time, 
that it would have been foolish for a brain worker 
or a busy mother to do any of the actual manual 
work of the family ; so that Miss Tsao had never 
been trained to do any such work, considering it 
altogether the work of coolies. She was mystified 
by the active participation of the sister who was 
the home maker, in the real work of the house, 
such as bed-making, dusting furniture, and mend- 
ing linen and clothing. She could not understand 
the easy, informal relations between a mistress 
and her maids; so she frankly asked about it all. 
After she had been told that labor with us was 
expensive, that we could not afford the number 
of servants used in Chinese households ; and that 
we regarded our good girls from the country as 
our fellow Christians, who were here to help us 
keep the home clean and happy, and to provide 
suitable food for the family, and therefore treated 
them as part of the family circle, and tried to as- 
sure their happiness, this pleased her. She at 
once entered into the spirit of it, and gladly took 
her share in keeping the home happy. 

On examination, it was found that Miss Tsao 
had received more than the equivalent of a high 
school course, in the Far East, so that she took 
during the first year, some special work, prepara- 
tory to medical study, in a school for young wo- 
men in St. Louis. During this year she preferred 
to attend church with her new family, rather than 
to go alone to a church of her home denomination. 


The church had for a pastor at that time, a man . 
who was greatly gifted as a teacher of the Word. 
From the first, she drank in his teachings eagerly, 
and came home to talk it over, and to study her 
Bible on the subjects presented, and to ask many 
questions. In the following spring a well-known 
Bible teacher came to the city, and taught in a 
large, rented hall one or two evenings a week, 
largely covering Paul's epistles, but taking in a 
wide range of Scriptures, of both Old and New 

Miss Tsao was faithful in her school work, 
eager to waste no opportunity for acquiring the 
best possible foundation for her medical studies. 
But with it all she gave her Friday evenings to 
the Bible course, and followed each lesson with 
prayerful searching of the Word. It is recalled 
that once, after a very forceful presentation of 
God's love to us as individuals, as presented in 
John's Gospel, and of our assurance by reason of 
it, as presented in Ephesians, she told her friends 
that she had been too happy to sleep after hear- 
ing it. Her heart had been stirred in considering 
the wonders of God's love to herself, whom she 
knew to be so unworthy. She became a real stu- 
dent of God's Word, never tiring in her zeal to 
know more and more of His grace to us ; she be- 
came "a workman that needeth not to be ashamed, 
rightly dividing the word of truth". 

She realized that although she had believed 
and loved the Lord Jesus for many years, she 
had not known enough of His grace to truly en- 
joy peace of mind and heart, but had been under 
a constant strain to keep the Sabbath perfectly, 
and to obey all the laws, in order to please God. 
She was a legalist, unconsciously failing to recog- 
nize the finished work of Christ on the cross, 


which put an end to all of man's doing, and called 
upon man to accept God's perfect righteousness 
by faith, as a gift secured to every believer by the 
substitutionary death of the God-man, Christ Je- 
sus, on the cross, and His resurrection from the 
dead. The privilege of now and here sharing 
with Christ a new resurrection life was to her so 
marvelous, so overwhelming, that her whole be- 
ing was transported with joy in Himself, and she 
was led to say as Paul said after his vision, "Lord, 
what wilt thou have me to do?" Yes, and like 
Paul, she "was not disobedient to the heavenly 
vision". She gave herself unreservedly into His 
keeping, to be led where He would, and to be 
spent to the last breath in His service, and for 
His glory. 

During the year 1907, on account of serious 
illness in her adopted family, it became necessary 
to close the home, so that the family might be 
away for many months. The young Chinese girl 
was obliged to live in the school she was attend- 
ing, and later to spend her summer in the same 
place. It was a real trial of faith, inasmuch as she 
loved her home atmosphere, and found it hard to 
live under rules and regulations all the day. She 
found no sympathetic ear into which she could 
pour out her new Christian joy, and no congenial 
heart to whom she could talk freely of her pre- 
cious Lord. But she had fellowship with Himself, 
and began to exercise her privilege of prayer with 
new power. God used this experience to make her 
more sensitive to the needs of other hearts, and 
more eager to share with those who seemed 
friendless and heart-hungry, her own joy in 
Christ Jesus. 

During this year also, through the Bible class, 
she entered into a knowledge of the blessed hope 


of the second coming of our Lord, in His resur- 
rection body, in the clouds, to catch up His saints 
from the earth and from the graves, to be forever 
with Himself. This blessed hope became to her, as 
to many another, the inspiration to greater effort 
to make His salvation known, as far as she could 
reach, that His coming might be hastened. For 
His body, the true Church, must be completed be- 
fore He shall come; and we know not at what 
hour the Gospel shall have been given for a wit- 
ness to all peoples. 

In the fall of 1907, Miss Tsao entered the 
Woman's Medical College of Philadelphia, whose 
halls have received many Christian women from 
the foreign mission fields, who came to make 
themselves more fruitful workers among their 
own needy peoples. From her first year, Miss 
Tsao proved an intelligent and earnest student. 
The early training of the Chinese children, hav- 
ing to study surrounded by so much noise, gives 
them a power of concentration in many cases un- 
equalled by most of us, who are carefully guarded 
from disturbing elements. She found herself sur- 
rounded by congenial friends, entered into all the 
interests of college life, and was -discovered to 
have the gift of leadership, before the first year 
closed. In her last two years she held office in 
the college Y. W. C. A. ; was the chairman in her 
last year. During this time of her study, she 
allowed herself time enough for out-of-door walk- 
ing in order to maintain her physical fitness, but 
she had no inclination for the light evening enter- 
tainments which consume so much time in the 
lives of most of our college students. She was also 
careful in her expenditures, keenly appreciative 
of every provision made for her comfort and hap- 
piness. Never but once did she overstep her al- 


lowance, and this experience revealed another 
beautiful evidence of God's abounding grace in 
her heart. 

In early December she wrote to her American 
home that her raincoat was much worn, and that 
she had seen one in a shop for between fifteen 
and twenty dollars, which suited her well;, she 
asked if she might have that sum for its purchase, 
in addition to her regular allowance. In reply, 
one of them wrote, that December brought many 
extra expenses with it, and that it would be much 
more convenient to send the extra amount in Jan- 
uary. It was agreed that she must have the new 
raincoat, but it was hoped that the old one might 
be used for the intervening weeks. She wrote 
thanking them for the promise to send the sum 
in January, but added, she had bought the coat 
with money borrowed from a willing classmate, 
and would repay it when the January check should 
come. This was a very natural thing for any girl 
to do, but as she was preparing for a great work 
in China, where she would constantly find urgent 
need for many articles in equipment, for which 
she would have long to wait, her friends felt that 
they must help her to realize the importance of 
awaiting God's time for such provision as He saw 
to be needful. So, rather regretfully, one wrote 
that she was glad that she had the coat, and that 
a friend had been so willing to help her out, but 
that it would be well for her in the future to train 
herself to await God's time for providing such 
needs. It was explained, that in China she would 
have much need of patience and of cheerful wait- 
ing for needs far greater than anything she could 
have in this country. Her reply was most pre- 
cious. She wrote that she did thank her home 
people heartily for caring enough for her to write 


as they did, opening her eyes to the sin of running 
ahead of God in her purchase. She hoped she 
would be given grace not to fail God in such ways 
in China ; she wanted to be in His will. 

During her first year in college she met a 
young Porto Rican woman, who was well edu- 
cated and was taking the full medical course, 
with the purpose of practicing her profession 
among her own people. She was intellectually 
bright, and had great personal ambition to attain 
success and fame. The two foreign students 
seemed strangely attracted to each other, and 
grew to be close friends. There were many Amer- 
ican girls in the class, and quite a group of real 
believers among them; but none of them seemed 
to come so close to Miss Tsao as this girl from 
Porto Rico. She was mentioned very often in her 
home letters, and when summer drew near, she 
wrote to ask, if it would be convenient and agree- 
able to have her bring her Porto Rican friend 
with her for the summer, since she seemed so 
much alone in our country, and could not afford 
to make the trip to her own home. 

The two sisters in her American home had 
serious counsel together over the question. The 
wisdom of such close intimacy with one of another 
faith was questioned, and both felt a regret that 
close friendship had not been formed with daugh- 
ters from strong Christian homes. By making a 
sacrifice of other summer plans, they might have 
entertained the friend for the vacation period in 
the home. But St. Louis has a hot summer 
usually, and it was their custom, and their plan 
for that year, to spend the warm months in Can- 
ada, where it would be much cooler. So the re- 
quest was not granted; and later in the college 
life of Miss Tsao, when the true status between 


the two students was known, deep regret was ex- 
perienced that they had not used that opportunity 
to help in a real work of grace, which our Lord 
was conducting through the loving and prayer- 
ful ministry of Miss Tsao. 

During the second year of her college life 
Miss Tsao began to write of the interest her Porto 
Rican friend was beginning to show in the study 
of God's Word; and during the third year this 
young woman confessed Jesus Christ as her Sav- 
iour and only mediator, and later became an en- 
thusiastic student of God's Word, and a faithful 
witness for Him among her own people. This 
was from the beginning, the hope and purpose 
of dear Li Yuin Tsao. She recognized a hungry 
heart in her friend, and prayerfully looked to God 
to use her testimony and her consistent Christian 
living to open her heart to the truth, through 
which the Holy Spirit works to bring forth a 
"new creature in Christ". Would that more of 
our own students were alive to their privileges 
among foreign students! There would not be so 
many from foreign lands spending years in our 
colleges and universities, only to return to their 
own people more anti-Christian than when they 
arrived in the United States. 

During the summer of 1909 Miss Tsao spent 
some weeks in and near Toronto, Canada, with 
her American family. She met there some of the 
workers of the China Inland Mission, visited in 
the delightful China Inland Mission Home, over 
which the now glorified Mr. and Mrs. Helmer 
graciously presided. It was a sweet experience in 
her life, and taught her new lessons in the life of 
faith, in which the history of the China Inland 
Mission might be used as a text-book of illustra- 
tion. She was much impressed also by her first 


view of Niagara Falls, and saw new illustration 
there of the mighty power of God in creation. 
She sought to know more of this power in her 
own life and in her future service for Him. 

She entered into her second college year with 
fresh vigor and greatly enjoyed the practical ap- 
plication of some of her first year's foundation 
work in the treatment of diseases. She always 
had a large sympathy for the sick and suffering, 
and seemed easily to win their confidence. She 
began this year to do a little public speaking, and 
gained some freedom from timidity in doing so, 
which helped her in her later work. 

During one of the summers at home, the sub- 
ject of marriage was under discussion, and it 
was discovered that she shared the general Chin- 
ese understanding, that any student, who was 
helped to secure an education by any patron, 
would be in honour bound to give at least three 
years of work, in any place selected by the patron. 
Her friends assured her that they would not ex- 
pect that custom to obtain in her case. She was 
given to understand that she would be absolutely 
free to serve God as she would be led by the Holy 
Spirit; also that she would be free to enter into 
marriage with a true Christian man. It was 
shown through God's Word, that our Lord did 
not approve of marriage between a believer and 
an unbeliever. She was told that she would be 
trusted to obey God's Word. This was evidently 
in the Lord's will. 

During her last year in coPege, she, with a 
group of other students, was invited to spend a 
week at Washington, D. C., under excellent chap- 
eronage, as guest of the Chinese Secretary of Edu- 
cation and of the Embassy. She went, and greitly 


enjoyed the sights and privileges of the Capital. 
On one occasion, at a banquet given for the stu- 
dents, she sat within hearing of a most estimable 
young Chinese official, with whom she had en- 
joyed a friendship of some years' standing, and 
whom she greatly admired as a man, and as a 
Christian. In the course of the banquet some gen- 
eral conversation occurred, which involved a slur 
upon the Christian faith and upon its Founder, 
and gave a fine opportunity for her friend to de- 
clare himself a believer in that faith, and out of 
sympathy with the words spoken. He remained 
absolutely silent. Shortly after this occasion the 
young man asked Miss Tsao to be his wife. She 
very frankly told him, that had she not attended 
the banquet, she might have made the serious mis- 
take of accepting his offer; but she added, that 
after seeing him sit in silence, when a slur upon 
his faith called so loudly for an expression of his 
loyalty to his Lord, she could not permit herself 
to give it any consideration. Her Lord Jesus was 
first in her life and heart. Never again did she 
for a moment consider matrimony, so far as any 
one knows. 

Dr. Tsao took her medical degree with the 
class of 1911, and after a few weeks of rest at 
home, entered upon an internship at the Mary 
Thompson Hospital for Women and Children, in 
Chicago. The medical member of her American 
family took her to the hospital, and introduced 
her especially to her old friend, Dr. Bertha Van 
Hoosen, the chief of the staff. The hope was 
expressed quietly to Dr. Van Hoosen that Dr. 
Tsao would not meet with unkind treatment from 
patients, because of prejudice against her nation- 
ality. Not more than two months later, a letter 
from Dr. Van Hoosen stated that one need have 


no concern about Dr. Tsao's acceptability among 
the patients. The fact was, she was too popular, 
so that many patients were asking to have her 
care, instead of the internes to whom they had 
been assigned. She had a profitable year there, 
and was given many special opportunities in sur- 
gery and obstetrics. After leaving Chicago, she 
spent a few months in Bethesda Hospital, St. 
Louis, where she had opportunity to do some sur- 
gical operations under careful supervision, and 
with the assistance of experienced surgeons. She 
had unusual experience in the care of children 
and babies, both sick and well, and largely in- 
creased her obstetrical experience. There, as in 
Chicago, she won the confidence and affection of 
her patients, fellow workers and nurses, in a won- 
derful way. Bethesda Hospital is one part of a 
wonderful work of faith, given in answer to the 
importunate prayer of a Christian woman, who 
had been down to death's door, and marvelously 
restored to health and strength, and who longed 
to have her life count for God. The work includes 
a foundling home, a refuge for young mothers of 
fatherless children, a home for elderly ladies, a 
hospital and a training school for nurses. The 
hospital includes a ward for incurables, who are 
most tenderly attended. All funds have come, and 
still come, in answer to the prayer of faith, and 
for thirty-five years the institution has stood, as 
a testimony to God's faithfulness to His children. 
Dr. Tsao felt greatly privileged to be a part of this 
work for a season, and learned many profitable 
lessons in a life of faith, under the unconscious 
ministry of Mrs. Roger Hayne, the directress, 
called of God to carry on this great enterprise. 

During the late summer of that year, she 
approached one of the sisters of her adopted f am- 


ily with an earnest request for a time of prayer, 
concerning something, which was troubling her 
very much. The opportunity was found at once, 
and, closing the door upon everything outside, she 
was asked the cause of her concern. She sobbed 
as she spoke in great earnestness, "I have discov- 
ered so much of self in my life and in my heart 
that I must secure deliverance from God, in 
prayer. Unless I can die to self, I shall be of no 
use to Him in China." They prayed together, 
claiming the promise, "If two of you shall agree 
on earth as touching anything that they shall ask, 
it shall be done for them of my Father which is 
in Heaven". Dr. Tsao's prayer was most child- 
like, making frank confession of the discovery 
that self was still in control of much of her life. 
She handed herself over to the risen Lord, who 
had promised to His blood-bought ones, on the 
ground of His atoning sacrifice, that "Sin shall 
not have dominion over you : for ye are not under 
the law, but under grace". Before she left that 
room of prayer, she appropriated God's promise, 
and was able to say with the beloved Apostle Paul, 
"I am crucified with Christ: nevertheless I live; 
yet not I, but Christ liveth in me." Her after 
life proved the genuine character of the act of 
faith consummated that day, and the faithfulness 
of our God toward every trusting heart. 

Only a few days after this experience, Dr. 
Tsao received a cablegram from China, "Mother 
ill. Come." Preparations were made with speed, 
steamer reservations secured, and with a brave 
and trusting heart she started homeward, count- 
ing on God, that He would take her home in time 
to see the beloved mother, unless He had special 
reasons for taking the mother to Himself sooner, 
in His own loving wisdom. Her heart was at rest, 


Dr. Li Yuin Tsao, graduate of Woman's Medical College 
of Pennsylvania 

and she was free to occupy the long three weeks 
on the steamer with study of His Word, with in- 
tercessory prayer for others, and with testimony 
to the grace and wisdom and great salvation of 
her Lord. She wrote later, that God had given 
her many opportunities to testify to the wonders 
of His works, and of His written Word. 

"Hath not each heart a passion and a dream? 

Each some companionship for ever sweet? 

And each in saddest skies some silver gleam, 

And each some passing joy, too fair and fleet? 
And each a staff and stay, though frail it prove, 

And each a face he fain would ever see? 
And what have I? An endless Heaven of love, 
A rapture, and a glory, and a calm, 
A life that is an everlasting Psalm; 
All, O Beloved, in Thee." 

G. T. S. 


Chapter III. 
First Term of Service in China 

"All power is given unto me in heaven 

and in earth. 9 "And lo, I ant with you 


Dr. Tsao reached her Chinese home to find, to 
her great joy, that our Father had answered her 
prayer, that her precious mother still lived, and 
was so happy to have with her again the much- 
loved daughter, who had become so well fitted 
to minister to both her physical and spiritual 

The mother lived for three months after Dr. 
Tsao returned, and she delighted in talking over 
with her daughter the deeper spiritual truths of 
the Word of God, which the Spirit had graciously 
imparted to this earnest soul, who gave herself so 
whole-heartedly to her Lord, who took time to be 
alone with Him daily, to sit at His feet and to 
hear His Word. Ah! this is the secret which so 
many of us fail to learn ; that our Lord is always 
ready and willing to impart the knowledge of His 
truth to our minds and hearts, but we busy our- 
selves so continually here and there, so often in 
our own will, that we do not find the time to be 
alone with Him. We do not place first things first 
on our programs. True, it certainly is, that those 
saints who set apart a definite time in the day for 
meeting Him on close terms, are the members of 
His body who bring forth fruit to His praise, and 
always more fruit, and much fruit. 

After the mother went to be with her beloved 
Lord and Saviour, the daughter waited for the 


Holy Spirit's leading in the next step to be taken. 
Many friends urged a private medical practice in 
the large port city of Shanghai, where so many of 
her family connection and of her old friends lived. 
Such a practice had promise of large financial re- 
turns and of many opportunities for bearing wit- 
ness to the truth. But, waiting on the Lord's 
will, Dr. Tsao was led to accept an appointment 
under the Friends' Mission at Nanking, the old 
Chinese national capital. This mission, estab- 
lished many years ago, had built up a good school 
for girls and a hospital for women and children, 
with a daily clinic and a fairly large out-patient 
department. The mature women in charge of the 
work were deeply taught of God, and were known 
for excellent judgment, unusual executive ability, 
and large hearts yielded to the will of God. 

Up to that time the hospital, the training 
school for nurses, and a service in the interdenom- 
inational hospital for missionaries had been con- 
ducted by two American women. They had been 
successful workers, and had accomplished much 
for the glory of God and for the welfare of the 
people under their care. One of these had been 
removed from service by death, another by ill- 
ness. Dr. Tsao was engaged to undertake as 
much of this work as she could, until proper help 
might be secured. The help was never found, so 
that she eventually assumed responsibility for all 
the professional work of the mission, including 
both active practice among the women and chil- 
dren outside, and the teaching of nurses and medi- 
cal assistants. She lived in the home with the 
American ladies, who took her into close fellow- 

Dr. Tsao enjoyed the spiritual home atmos- 
phere and the delightful friendship with the 


heads of the mission. She often wrote of the rest- 
fulness of the beautiful home life, with congenial 
friends, books, magazines, and music for a needed 
change of thought. 

But when she found time to do some work 
among the women of the gentry, and realized 
their great need of the Gospel, she regretted not 
having a simple Chinese home of her own, which 
they would feel free to visit in a social way. She 
was more than willing to give up her home com- 
forts with the very dear American workers, if by 
living alone in Chinese style, she might win some 
Chinese women to the knowledge of her Saviour. 

At the close of her first year in the service 
of the Friends' Mission, Miss Butler, the honored 
head of the work, wrote that Dr. Tsao had much 
exceeded expectations in her ministry; that she 
found her entirely efficient in her professional 
work, possessed of marked executive ability, ex- 
ceedingly tactful in her dealings with nurses and 
with all classes of the Chinese ; that she was doing 
all the work which had previously required the 
whole time of two American workers; and that, 
above all, her personal devotion to the Lord Je- 
sus Christ made her daily life a living testimony 
to His saving and keeping power to all about her. 

What better investment of time, means and 
heart interest could one make than was made in 
this dear Chinese girl, who was used of her Lord, 
month after month, to win to a saving knowledge 
of Christ numbers of her country women from 
all classes, the poor and the rich, the ignorant 
and the educated? 

In the letters and annual reports to the 
Board of Friends of the United States, Dr. Tsao 
manifested her habitual mental attitude toward 


the real Head of the work, and her constant grati- 
tude to Him for her privilege of service. A letter 
here given is quite characteristic of her corres- 

Annual Report of the Friends 9 Hospital 

Nanking, China, April 13, 1913. 

"I will not fail thee, nor forsake thee. Be 
strong and of a good courage." Only with this 
promise before me did I consent to come to Nan- 
king and take charge of the Friends' Hospital. 
Ever since I came, the first of November, I have 
realized more and more the great responsibility 
of the work and the numerous perplexities on one 
hand, and the exceeding graciousness of my Mas- 
ter on the other. During these few months I 
have learned to thank the Lord, whenever I face 
a problem that I am not at all able to solve ; for 
this helplessness has made me appreciate my abso- 
lute dependence upon Him, and therefore I enjoy 
a closer fellowship. 

Although it has been only five months since 
I am connected with the Hospital, I shall endeavor 
to give a rough outline of the work done since 
June last. It is needless for me to report here 
that after the home-going of Dr. Gaynor, her first 
assistant, Dr. Djang, proved to be the most faith- 
ful and clever worker. The weather was hot and 
the work heavy, so that a month's vacation in the 
month of August was taken by her, during which 
period no in-patients were received and the clinic 
patients were attended to by some Chinese grad- 
uate nurses. After the summer, starting with 
the first of October, Dr. Isabella F. DeVol, from 
Luho, came over to help and remained until I 
came to take up the work. 


In the past year 9,000 odd patients were seen 
in the daily clinic, and 320 in-patients, with as 
many out-calls. When I first came, the clinic 
hours were from 10 to 12 A. M. ; but as the cold 
weather set in, the patients came so late, that 
our afternoon work was much delayed ; therefore 
the hours were changed to the afternoon, and the 
morning was used for dressing the in-patients 
and for operations. During these few past 
months about twenty-five operations, with gen- 
eral anesthesia were performed, beside the nu- 
merous ones, where no ether or chloroform is ad- 

Since ours is the only hospital for women 
and children we have many obstetrical cases ; but 
how pitiful it is, that most of them are such 
sad and desperate ones. One need not be a doctor 
in China long before she wishes to multiply her- 
self manifold, so that proper scientific care could 
be given to women, who have for centuries suf- 
fered untold agony from the hands of ignorant 
midwives. May we all with one accord pray to 
the Lord of the Harvest that He will send out 
more medical missionaries to China. 

Two great improvements took place in the 
Hospital last summer; in that the operating room 
was all re-varnished and re-whitewashed, and the 
back porch fixed over with a new stairway. A 
dressing-room was added upstairs next to the 
operating room, and the former dressing-room 
was turned into a private room. Some time ago 
a gift of money was given for the operating-room 
outfit, so we have ordered, and the things have 
just come from America. A few of the less im- 
portant articles of furniture have been made here 
in order to lessen the expense. 


At present we have two Bible women with 
us, and not one patient, whether she is an in- 
patient or a clinic patient, leaves the Hospital 
without hearing the Gospel of our Lord Jesus 
Christ. With the in-patients the evangelistic 
work is more encouraging for they are with us 
for from days to months, and during that time 
the Bible women talk to them, teach them to read 
simple texts, and have meetings with them. 
When they first come, the patients who are helped 
the most physically are more willing to hear, 
while those whose physical ailments have passed 
beyond human skill can find no comfort in the 
"doctrine". But as they stay with us, the second 
class of patients gradually become friendly, and 
soon begin to find comfort and peace in their 
souls, although their bodily illness is still about 
the same. About a month ago a patient, a young 
woman of twenty-five, came to the Hospital with 
an awful right foot and ankle. I have told her, 
that that joint is beyond human skill, and the only 
thing left is amputation. She listens to the 
preached word with keen interest, and one day 
she told our Bible woman that she is going to 
follow Christ, whether she gets well or not. 

Two women came to us from the country 
about ten days ago, apparently with the same 
trouble, but from different causes. One of them 
was greatly helped with a little operation, while 
the other does not improve under medical treat- 
ment. At first the second one would not listen 
to our Bible women at all, but before the second 
day was passed she came to the meetings. One 
afternoon I was upstairs in the ward talking to 
one of Miss Stanley's pupils, who is in bed with 
a serious disease, and this patient came to me. 
I asked the student, who is a Christian, whether 


she was praying to the Great Physician to heal 
her, which she said she was doing. Then I turned 
around and said to this patient, that there is a 
place where there will be no sickness, no sorrow 
and no tears ; the rich and the poor, the ignorant 
and the intellectual, shall be alike. She looked 
very much surprised, and then I went on to tell 
her the only way by which she can get to that 
place. I, as a worker for the Master, can only 
sow the seed; but my Master is able and willing 
to water it so that it may bring forth much fruit. 

Before closing my brief report I wish to put 
down just a few lines about the Union Training 
School for Nurses. In the summer of 1912 the 
first class was graduated. Two of its members 
have married, and the other one is with us acting 
as a head nurse in the wards. 

The school at present has eleven nurses in 
training; four of the third year; two, second 
year; three, first year, and two probationers. 
These girls, with the exception of the two new 
ones, are all Christians. The school is meaning 
to us a great avenue of multiplying our work, 
and also of scattering good seeds in the different 
Chinese homes, where they go to minister to the 

In the absence of a trained nurse at the head 
of the school, I am endeavoring to impart to the 
pupil nurses the nursing technique, as much as I 
know myself, and this is very limited. Therefore, 
will all of you who are interested in this line of 
work help us to pray that we might very soon 
get a nurse who is able to train and discipline; 
for it is the desire of the school to have our grad- 
uates thoroughly prepared to do the best scientific 
ministering unto the sick. 


God has so wonderfully blessed us in every 
way during the past months, that my heart is 
filled to overflowing with praise and thanksgiving 
"Unto Him that is able to do exceeding abund- 
antly above all that we ask or think". 

Respectfully submitted, 
La Yuin Tsao. 

Dr. Tsao began her work at the Friends' Mis- 
sion in Nanking in the Fall of 1912, and passed 
through very unusual experiences during the fol- 
lowing Summer. The passing of China from a 
monarchy into a republic was effected with little 
bloodshed. But about two years later there was 
some serious fighting, centering in and about 
Nanking. The rumor of trouble ahead was 
widely circulated some days before the state of 
civil war really existed, so that many residents 
of Nanking moved all of their possessions, with 
their families, to another city. An elder brother 
of Dr. Tsao was one of those who took this pre- 
caution, and he urged his much-loved sister to 
go with them to the old home in Shanghai. 

It so happened that the two elder members of 
the Mission were away for their summer rest, 
when the rumors reached them. They were not 
allowed by the authorities to return to Nanking. 
Dr. Tsao's vacation was due, but she alone was 
left in the compound in charge of the hospital, 
school girls, servants and property. She knew 
that grave danger threatened them; her brother 
again and again urged her to go with him, stat- 
ing the great risk of losing her valuable life by 
staying. She quietly assured him that she was 
quite ready to lay down her life should God call 
her to do so, but was not willing to betray a 


trust, or to fail in her responsibility toward the 
patients, toward the girls and toward the many 
Christians and others, who had already poured 
into the compound to find greater safety for 
themselves and families. 

She stayed, with confidence in her Heavenly 
Father's wisdom, love and power to "do exceeding 
abundantly above all she would ask or think", and 
He did not fail her. 

On many days Dr. Tsao saw groups of girls 
being driven out to the soldiers' camp ; her girls 
were threatened ; but daily, and many times daily, 
she committed her large household to the keeping 
of the Heavenly Father, who, having "spared not 
His own Son, but freely offered Him up for us 
all", would surely "with Him freely give us all 
things", when the needs were presented in the 
name of that Son. 

So the many weeks of danger rolled by, and 
left Dr. Tsao and her missionary compound un- 
touched by the enemy; and God used her testi- 
mony to the salvation of many who took refuge 
with them, and to the strengthening of the faith 
of many others. The letters mention in a very 
simple way, this tremendous experience. 

Nanking, December 5, 1913. 
Miss Rache! Pirn, 
Alliance, Ohio, 
U. S. A. 

Dear Miss Pirn: 

Your good letter came to me some time ago, 
I was so glad to hear from you. Thank you for 
the words of encouragement kindly given. I be- 
lieve it is the will of the Lord for me to be here, 
although at times, when difficulties and trials 


arise, I wish I were somewhere else. What a 
wonderful God we have! What a gracious Mas- 
ter we serve ! He never, never fails us. 

I need not repeat about the happenings of 
the past summer, they are all written out in the 
Friends' Oriental News. Through it all, we kept 
up our spirit and our health. 

Two weeks ago there were two interesting 
and serious operative cases in the hospital. From 
one woman a cyst weighing eighty-five pounds 
was removed. She is well, and will return to her 
home in a few days. In another case a very 
badly suppurating appendix was removed, she is 
also improving, and this patient is a fine Chris- 
tian woman. I called in Dr. Hiltener for con- 
sultation, we all gave up hope of saving her life. 
One day I asked her, "Why do you think the Lord 
is allowing you to live?" She said, "Because I 
have not finished my work for Him." 

The Memorial Hospital is open now, was 
dedicated last Saturday. The Nurses' Training 
School is growing nicely, there are sixteen girls 
with us now, and the senior class graduates the 
last of January, 1914. 

Miss Butler has gone over to Luho for a few 
days, for which we are very happy, because she 
been working so hard, she is so busy. 

At present we have fresh reasons to render 
thanks unto the Lord for our Chinese pastor, 
Pastor Gao; he is so filled with the Holy Ghost 
that his messages go home to all. 

Give my Christian love to all the members 
of the Board, 

Yours in His Service, 

Li Yuin Tsao. 


In her personal letters to her adopted Amer- 
ican family, she often mentioned the Chinese pas- 
tor to whom she refers in the letter above. Many 
times she wrote of his wise counsel in times of 
perplexity, of his spiritual power in dealing with 
souls, of his broad sympathy for all in need of 
any kind, and of his Sunday sermons, which 
meant much to her in opening up the Word with 
new power, and which always strengthened her 

Annual Report of the Friends' Hospital 

Nanking, China, July 13, 1914. 

Another year has gone, a year full of work, 
difficulties and discouragement on one hand, great 
blessings and wonderful deliverances on the other. 

About two months after our last Annual 
Meeting was held in Nanking, there began to cir- 
culate around rumors of war, and this city was 
thrown into confusion. The people were so ex- 
cited, some were moving out, and some were mov- 
ing in, they did not know what they ought to 
do. During those troublous days we found a 
Safe Refuge beneath the Everlasting Arms. We 
did so want others to share this Refuge with us. 

Toward the middle of August the condition 
in the city was so bad that all the beds and even 
the floor space in the hospital were taken by wo- 
men, young girls and children. While they were 
with us, they saw that our trust was in Him, so 
we were not afraid. During those anxious days 
we had very helpful prayer meetings, and the 
Good Shepherd was with His own. The first day 
of September, 1913, will be a day to be long re- 
membered by many of the citizens here. I re- 


member very well that we had all our people 
stay inside and had all our blinds, upstairs and 
downstairs, shut tight. There was much firing 
in the street, and stray bullets were whizzing into 
our yard every minute. The Lord was so good 
unto us, no one inside the compound was hurt. 

As far as medical work was concerned, not 
much outside work was done during those months. 
Practically no out-calls, and only the very poor 
dared to come to the clinics. 

The Gospel was preached to all those who 
stayed with us, and we are following them up 
with our prayers. 

When the city gradually got back to her 
former condition, more patients came, and the 
routine work of the hospital was much the same 
as last year, and has gone onward without in- 
terruption, and we have all had our hands full 
of work. 

The different kinds of diseases that came to 
the hospital were just aDout the same as last year. 
The health of the city, on the whole, was rather 
good, but early in the spring there was an awful 
epidemic of smallpox, very fatal, too, throughout 
the length and breadth of this city. Hundreds of 
children and adults were swept away by it. We 
had all our own people vaccinated as soon as the 
epidemic broke out. One of the new pupils of 
Miss Stanley succumbed to this disease. Her peo- 
ple were farmers, not at all educated, humanly 
speaking, but the Holy Ghost had been their 
teacher. Her father came to see his daughter, 
and was present at her funeral, and a more beau- 
tiful Christian character than he, one could never 
expect to see. 

Late last fall a poor widow came in with 


cancer of the breast. It was too late to cure by 
operating, but she wanted to have it done. While 
she was with us she accepted Jesus as her per- 
sonal Saviour, and although the same dreadful 
disease has come back she is a living witness and 
a shining light in the Widows' Home where she 
stays. We praise God for her. 

In my last Annual Report I mentioned a wo- 
man with a bad tubercular ankle, who refused to 
have it amputated, yet she said that she would 
be a Christian, whether she got well or not. 
Finally after much persuasion the bad ankle was 
amputated, and she went home to wait for the 
artificial limb to come from England. She came 
to us again this spring. She looked so rosy and 
well that I hardly knew her. Her own father 
is dead, mother too old to work, and the husband 
good for nothing; but her kind uncles, on her 
mother's side, put up two-thirds of the money 
for her artificial limb. She wishes to enter a 
woman's Bible school in the fall. We are pray- 
ing that a way may be opened and financial help 
may be procured for her. 

A little before Christmas a patient came to 
be operated on. She had an ovarian cyst and 
after the operation it was found to weigh more 
than eighty-five pounds. The operation was a 
success and she left us in good health after three 
weeks' stay. She is now a member of our Gua Pu 
Church, and is a good worker for the Lord among 
her own people. Dear friends, pray for these 
good people. 

Last year about 9,000 patients were treated 
in the daily clinics, and we took care of 564 in- 
patients. Out-calls numbered 260 ; operations, 39, 
and obstetrical cases, 73. 


With the money n the field we dug a new 
well, because the old one caved in ; and also built 
a much-needed cistern. 

Our present greatest need is the adding of a 
wing to the hospital. For the past few months 
our wards have been quite full, and I am im- 
pressed every day, and especially every evening, 
when I make my evening rounds, that our wards 
are too crowded, and the beds too near each other. 
In the evening, even with every window and door 
open, the air in the wards is stifling, that when 
the warm weather comes it is not at all sanitary 
or hygienic. Our hospital ought to accommodate 
only 25 patients, but we often have to take in 
forty or more. 

May the good Lord put this upon the hearts 
of some of His faithful stewards. 

Last October I secured a fine young Chris- 
tian woman to be the matron and teacher of the 
Union Nurses' Training School. She placed the 
nurses' studies and work into systematic order, 
and the girls have progressed much in their 
studies this year. Toward the middle of Janu- 
ary, six nurses were graduated from the Union 
Training School. Two of them have since left 
to work in their own mission, and four have re- 
mained to take further special training. 

There are now with us fourteen under-grad- 
uates, and some of them are very promising. Four 
of the number are not Christians, but they are 
daily coming to know the Lord better. 

Dr. Djang and our two Bible women are 
just the same faithful and conscientious workers. 
The patients in the wards have learned to read 
many Bible truths, and every one of our clinic 
patients hears the Gospel before she leaves the 


hospital. I am praying earnestly to the Lord that 
another fine Christian woman physician may 
come out to be my co-worker, and also that some 
of my Master's rich stewards may give the hos- 
pital more financial backing. I am so anxious 
to open another dispensary outside the city walls, 
or in another part of the city, for our hospital is 
the only hospital exclusively for women and chil- 
dren. To open another dispensary, and to work 
among the poor, means more money, so at pres- 
ent we are obliged to hold our breath and to wait 
for His will. May the Lord bless you all, and 
may He make, this appeal your subject for prayer. 

Respectfully submitted, 

Li Yuin Tsao. 

Dr. Tsao's sacrifice and faithfulness became 
known to the officials of the city of Nanking, and 
they knew that her life was the expression of 
her faith in the true and living God, and that she 
believed with all her heart in His Son Jesus Christ 
as her risen Lord. 

Shortly after peace had been restored in 
Nanking, the wife of a health officer was taken 
to her for medical attention. Dr. Tsao soon won 
her confidence, and found that she was much sad- 
dened over her household conditions. She gave 
her the Gospel and later, meeting her husband, 
sought earnestly to interest him in the Gos- 
pel of God's grace. Both husband and wife be- 
came students of the Word of God, and also be- 
gan a sympathetic ministry to the poor among 
the people. With the assistance of the health offi- 
cer, in addition to her many other duties, she or- 
ganized a system of instruction for midwives, pro- 
vided a number of health exhibits for the educa- 


tion of the public, and greatly improved the city 
sanitation by her counsel. 

This interested health official was a native of 
the city of Tientsin, and later recommended Dr. 
Tsao to the Board of Directors of the Peiyang Wo- 
man's Hospital of that city as the most capable 
woman in China to take charge of the institution, 
and to develop its greater usefulness to women 
and children of that section of her country. Of 
this we will hear more later. 

Dr. Tsao's Annual Report does not mention 
her own part in the wonderful summer experience 
during the war, but does show forth the Lord's 
goodness to them and His faithfulness to His 
own in time of need. It will be noticed in all of 
her reports what great stress she puts upon the 
spiritual side of her work, while giving her best 
skill and careful attention to the physical needs 
of all patients presented. Our Father delights in 
such ministry and sets upon it His seal of ap- 

Annual Report of the Friends' Hospital 

April, 1915 

Another year of privilege, opportunity, diffi- 
culty, and blessing has gone ; and as we look back, 
we are reminded of the words of the Psalmist, 
"Thou crownest the year with thy goodness." 

The outlook at the beginning of the year was 
somewhat dark, and difficulties seemed to be 
ahead, but as we went along with our blessed co- 
workers, the darkness disappeared and the diffi- 
culties were overcome. We thank God also when 
we come to difficulties and hard problems, for 
these bring us nearer to God. They have also 
deepened our experience, confirmed our faith, 


taught us a lesson, that we can depend upon God 
being with us, that "He is able to do exceeding 
abundantly above all that we ask or think", and 
that God is faithful, who "will not suffer you to 
be tempted above that ye are able; but will with 
the temptation also make a way of escape, that 
ye may be able to bear it". 

Early last spring since Dr. and Mrs. DeVol 
were in America on their furlough, several urgent 
trips were made to Luho, when some members 
of our own Mission were sick ; and it is more evi- 
dent than ever before, that the Chinese people, 
rich and poor, are realizing and appreciating 
more and more, Western medicine and good 

The routine work of our hospital is much 
the same as last year ; but, for various known and 
unknown reasons, the numbers of our dispensary 
patients and in-patients were less than other 
years. This was so not only in our hospital, but 
there was a decrease more or less in all the hos- 
pitals. Let us hope that the reason was national 
good health. 

At the beginning of June our faithful assist- 
ant, Dr. S. L. Djang, took sick, and was better 
and worse during the whole month. Just as soon 
as she was strong enough to travel, we sent her 
up to Ruling, hoping in that health-giving climate, 
she might soon regain her health. She has been 
up there ever since in a tubercular sanitarium, 
and the last word we had from her was not very 
encouraging. She is hardly any better after ten 
months of rest and medical care. Will all of 
you please remember her in prayer, that she 
might find the Great Physician all-in-all for her? 

June, July and August proved to be very 


busy months, and the weather was exceedingly 
warm and humid ; so it was decided that the hos- 
pital should be closed from the middle of August 
to the middle of September, in order to give me 
a month's vacation. It was not an easy task to 
close the hospital and send the patients home, for 
the wards were then full, each bed taken, and 
full clinics every day. I was perfectly willing to 
have the Lord's will done, and not my own; so 
daily we prayed that if it were the Lord's will 
to close the hospital, He would, one by one, 
send my patients home. How wonderfully He 
answered our prayer, for when the day came 
for me to leave the wards were empty, with 
the exception of a few chronic cases, which 
my nurses were able to care for during my 
absence. God's ways are wonderful; He had 
some other work for me. After a flying trip 
to Shanghai, I was called to one of my brothers 
in North China, and I had the privilege of nursing 
him, with his wife, for three weeks, when God 
in His infinite wisdom saw fit to take him unto 

By the first of October the routine work of 
our hospital started again. Very few patients 
came at first, for they had heard that the hospital 
was closed for good. During the early spring of 
1914 smallpox claimed as its victims thousands 
and thousands of children and adults ; so this year 
even before Chinese New Year, public notices 
were posted all over the city by the Health De- 
partment, telling the people of the different places 
where free vaccination took place, the vaccination 
money being provided for by the Health Depart- 

Among our patients we had a few cases of 
amoebic dysentery, but these yielded rapidly to 


the hypodermic injections of emetine. Tuber- 
culosis is very often met with, but most of them 
come too late for us to help them. In our clinics 
we see so many patients with enlarged glands, 
but nearly all are too scared to have them oper- 
ated upon. 

At present there are two little orphan girls 
in our hospital, and they are such sad cases. One 
of them is twelve years old and the only friend 
she has on earth is a poor adopted mother. The 
latter makes her living as a servant. Five 
months ago this little girl could not walk any 
more, for her left knee hurt her so much, and it 
became doubled upon itself more and more. Sev- 
eral weeks ago she came to us, and she is now 
much improved. She has such a sweet and sad 
expression that my heart just goes out to her. 
She has learned to read many Bible verses, and 
is so happy and good-natured. 

The other little girl was adopted by her rela- 
tives. During the very cold weather last winter 
her feet were frost-bitten, and when she came to 
us the toes of her left foot were black. The other 
foot was in a bad condition too, but we saved 
those toes. With a little chloroform, we removed 
the sloughing part and the dead bones on the left 
foot, and it is so much better now. We wish to 
thank our good friends who give every year to- 
ward the poor bed fund, for it is only by their 
generous giving that we are able to take care of 
many of such and other sad cases in our hospital, 
without charging them anything. 

In my other two reports I briefly mentioned 
about the awful things the old-fashioned mid- 
wives were doing, but in this report I have good 
news for you all. Long before this report reaches 


you, you must have read the little article in 
Friends' Oriental News, and have seen the photo- 
graph accompanying it, so I need not go into de- 
tails here. The school was in session for three 
months and the women received a great deal of 
practical knowledge. With the next class we ex- 
pect to prolong the course, and the young women 
must know how to read. For all such modern 
improvements as free vaccination and the open- 
ing of the midwives' school, the city of Nanking 
owes its debt of gratitude to her Health Officer, 
who is public spirited and conscientious. If he 
were only won for Christ, he would be a power 
among his own people. 

It has been a long-felt need to enlarge our 
dispensary, for we only had one small room in 
which to take care of our medical and dressing 
cases, children and adults all together. In this 
new addition we shall have separate rooms for 
the various lines of work. This addition was 
made possible by the amount of $600.00 left by 
our late Dr. Gaynor for building purposes. A 
picture of it will undoubtedly appear in the Orien- 
tal News. 

From June, 1914, until, March, 1915, I was 
alone in the medical work with my graduate and 
under-graduate nurses. If I did not have such 
trained nurses, I am sure that I could not have 
done the work. There are at present in the em- 
ploy of our hospital two graduate nurses, one for 
the operating and obstetrical rooms, and the other 
as a head nurse in the wards. They do very good 
work, although at times I wish that they could 
have done better. There are now in the train- 
ing school eleven nurses, with a class of three se- 
niors to graduate this coming June. 


On the 13th of March I succeeded in getting 
an assistant to take Dr. Djang's place while she 
is away. She was trained by a mission hospital in 
Soochow under the Methodist Episcopal Mission 

Although we do much medical work, and 
spend hours daily in nursing and dispensing, we 
never forget the preaching of the Gospel and to 
do spiritual good whilst relieving the body. We 
make it our rule, that all the in-patients, out- 
patients and clinic patients hear the Gospel of 
God before they leave the hospital premises. 
There had been some such bad cases that it 
seemed impossible to talk to them about our Lord 
Jesus Christ. 

Dear friends, we need your prayers that we 
may have wisdom, tact and insight from above, 
so as to know how to approach each individual 
case ; but, above all, that we might not only preach 
the Word, but live it; so that without doing a 
thing or saying a word, people may know that 
we have been with Jesus. There is a certain tfass 
of women in every city that is very hard to reach ; 
they are the ladies of the rich families and of the 
high official families. In my medical work and 
in my social intercourse I come into contact with 
many of them, so I have special opportunities, 
and therefore, I have special responsibilities. 
Some of them are so gentle, gracious and loving, 
and if they were only won for Christ, what shin- 
ing lights they would be. I do ask for your pray- 
ers, that I may be led at all times to know what, 
and when, and where, to say the right word. 

Our two Bible women are just as faithful 
as ever. During the clinic hours they talk to the 
waiting patients, and then we have daily meet- 


ings with the in-patients, besides the personal 
work that is done by each one in the hospital. All 
the servants, with the exception of the cook and 
his helpers, are Christians, and I feel sure that 
they all try to live up to their Christian principles. 

In my last year's report I mentioned two par- 
ticular surgical cases. One of them was healed, 
and is now such a shining light among her people 
in a little country town. We often hear good re- 
ports about her. With the other, the awful dis- 
ease of cancer returned, and she died rejoicing in 
the Lord. 

In closing, it gives very great pleasure to 
thank our friends for their continued practical 
fellowship and earnest effort on our behalf, with- 
out whose loving sympathy our hands would be 
tied, and many poor sufferers passed by uncared 
for, and left to die. We want to thank our friends 
who sent us such a nice bundle of useful articles 
by Mrs. DeVol. To those friends who support 
beds in our hospital for the poor sick, we render 

We do hope that our friends may not become 
tired helping us, although they may not always 
hear just how much good their generosity has 

There is one gift that we ask from all of you, 
and this gift every child of God can give, that 
is prayer. Pray for us that we may at every turn 
seek His will, and lead the straying ones to the 

Li Yuin Tsao, M.D. 

It was discouraging to our dear Doctor to 
find so little gained by her first labors in behalf 
of the midwives. Her heart burned over the seri- 


ous dangers confronting so many thousands of 
Chinese mothers, because of the ignorance and 
uncleanliness of the midwives, and because of the 
impossibility of providing for them intelligent 
professional service. Prayer over the question 
led her to undertake teaching the principles and 
art of midwifery to the graduate nurses of the 
training school, and she set about putting this 
plan into action with great enthusiasm. She gave 
training in midwifery to twenty-two graduate 
nurses. Contrary to the belief of many, Dr. Tsao 
found as much as thirty-eight per cent of her ob- 
stetrical cases to be operative cases. This fact 
helps one to realize the dangers encountered with- 
out professional skill. 

How great is the contrasting picture, when 
we consider the excellent hospital equipment, the 
highly educated nurses and the trained profes- 
sional skill of our obstetricians in the United 
States! Few of our people stop to consider that 
all these advantages we owe to the work of the 
Lord Jesus Christ in our behalf, as revealed to 
us in His precious Word, which in our country is 
an open book. 

During 1916 Dr. Tsao gave more time to pub- 
lic lectures on health topics, often addressing au- 
diences of three hundred or more. She was force- 
ful in her teaching, went to great lengths in secur- 
ing proper charts and health exhibits to appeal 
to the eye, and had strong influence in directing 
public attention to the great needs of the city of 
Nanking in matters of sanitation and public 


Annual Report of the Friends 9 Hospital 

Nanking, China, April, 1916 
Dear Friends: 

In looking back to the year that has just left 
us, my heart fills up with unutterable praise and 
thanksgiving for all that He, my Friend and Mas- 
ter, did do for me. This particular verse, "For 
your Father knoweth what things ye have need 
of, before ye ask Him", has been great comfort 
to me over and over again. 

In the early fall Dr. Djang came down from 
Ruling well and happy to take up her work among 
us again. For her complete recovery, we praise 
and thank our Great Physician. She is careful 
of her strength and is feeling just fine, although 
sometimes she has to work hard. 

The medical work has gone on as usual and 
we have had no epidemic of any kind this year. 
Last spring, as well as this spring, we have had 
many children for vaccination, and we see so 
many children with red caps (mothers usually 
put red caps on the children who have been vac- 
cinated), showing that smallpox is getting less 
and less, and vaccinations more and more popular. 
Under the auspices of the Social Service League 
a series of lectures on the different hygiene ques- 
tions was given, and I have no doubt that they 
did much good. 

In my last report I mentioned the formation 
of the Midwives' School by the Nanking Board of 
Health. Our talks did very little, if any, good 
to the old, ignorant women, for we still have our 
usual portion of the sad and pitiable cases. 
Thirty-eight per cent, of our obstetrical work is 
operative. What we are gradually planning to do 
is to train some of our strong, well-built graduate 


nurses to be competent midwives, and let them 
go and take the work. We had several serious 
abdominal operations, and we are so thankful to 
say that they all made rapid recovery. Our pri- 
vate rooms have been occupied nearly all the time, 
and the fees from that are the main support of 
our hospital. 

We had many patients for the poor beds, the 
kind of patients that have to stay for a long time. 
Among them is a poor country woman with aw- 
fully sore legs. She was with us for a few months 
year before last, and when she left her ailment 
was entirely healed. Early this spring she came 
to us again. Being 1 a country woman, she had 
to stand a great deal and work hard, so the old 
healed places all broke down again. Her legs, 
after several months' treatment, are much better 
and she can walk a little. She is always thanking 
and praising her Great Physician who is able 
to heal her soul and body. Our Bible women 
teach her to read a few tracts, and she is very 

On the 29th day of October a beggar woman 
came to our clinic and insisted that we take her 
in. We took her in, and upon examination found 
that she had a broken hip bepond help, for it had 
been broken many months. She came in thin, 
pale and unhappy. Soon she would greet me in 
the morning, when I made my morning round, 
with a smiling face, and she learned to sing hymns 
and read Bible verses ; but, sorry to say, her reli- 
gion is only skin-deep, for very often her disposi- 
tion is ugly. After staying with us for more than 
six months, we heard that her husband had come 
back. We had a good crutch made for her, and 
with a little money, and some clothes, sent her 
back to her husband. We pray and hope that 


she may not forget the Gospel she heard while 
with us. Since she left she has come to Sunday 
morning service several times. 

Just about one month after, an old lady was 
brought to us from the "Old People's Home". 
She, too, has a broken hip. When she first came, 
she was unhappy and grouchy, but now her face 
just beams with happiness and her bright and 
cheerful spirit is such a help to the other patients. 
Her memory is poor and her eyes are dim, so it 
is impossible for her to read ; but she listen atten- 
tively when any of us talk to her about Jesus 

For the last two years we had with us two 
old Manchu women. They were sick in soul and 
body when they came in. One of them is so deaf 
that it is very difficult to make her hear. As far 
as their physical ailments are concerned, they are 
both now perfectly well; but although they do 
believe and accept Jesus Christ as their Saviour, 
every once in a while they backslide. Please pray 
for them, that they may be fully established. 
About a month ago I sent one of them back to her 
own place, for it does not seem fair for the well 
ones to be in the wards while there are others 
more needy. I have to "harden" my heart once 
again, to send the other one away. 

In our clinics we treated 9,763 cases ; no par- 
ticular disease predominating, but some of all 
kinds. Our in-patients have not been so many 
this year, for, on account of the unsettled condi- 
tions, many families moved away from Nanking. 
We have been giving to all the people that come, 
illustrated Bible tracts, and also a Chinese calen- 
dar showing how to prevent tuberculosis. Our 
Bible women have posted some big pictures in the 


waiting room, and some women listen with inter- 
est; but some of them are too anxious to see the 
doctor for their physical ailments. With many 
of the old ladies in the cUnics, I have good talks 
about our Lord Jesus Christ, who died for us all. 

My most interesting and yet the most diffi- 
cult evangelistic work is among the women of the 
gentry and official classes. We are good friends, 
we call on each other and often meet socially; 
but if you start to tell them about Jesus, they are 
sure to have something important to which they 
must go at once. Their souls must be precious in 
the Lord's eyes, but they are so hard to win. 
They have all the world can give to make them 
happy. I pray that the Lord may give me wis- 
dom and tact for each case. My living with the 
foreign workers is a barrier to our more intimate 
relationships, for they have told me that they do 
not feel at ease in a house where foreigners live. 

Since my last report another class of nurses 
has graduated from the Union Nurses' School at 
Nanking. Of the last graduates one is nursing in 
a hospital under the London Mission in Shang- 
hai, one is a nurse in the Memorial Hospital in 
Nanking, and the third one is with me. They 
are all doing praiseworthy and splendid work. 

There are at present ten girls in training. 
They are a happy and contented and congenial 
company, not at all quarrelsome and faultfinding 
with each other. Every morning they have morn- 
ing prayers with the Pastor, but in the evening 
they have devotional service by themselves. For 
the latter part of last year my sister was teach- 
ing them, but on account of her poor health I 
had to look for another teacher. A graduate of 
the Shanghai Hospital Medical School was se- 


cured, and she is giving good lessons upon nurs- 
ing and medical subjects. 

About a month ago I started to go once a 
week to the Poor Children's Home in the city sup- 
ported by the Government. There are 650 chil- 
dren and they do need a great deal of medical at- 
tention. Every Wednesday morning from 8:30 
to 12 :00 M. one of the nurses and I see about 350 
boys and girls. Most of them have trachoma and 
some kind of skin disease. How I wish I could 
see them every day. 

May the richest blessings of our Heavenly 
Father shower upon you all. 

Yours in His Coming, 

Li Yuin Tsao, M.D. 

Dr. Tsao mentions her special gratitude for 
the recovery of her major surgical cases; and it 
may be best to mention that there is an old Chi- 
nese custom, requiring the head of any house in 
which a person should die, to be held responsible 
for the funeral expenses of the deceased. As a 
Chinese funeral can be made an expensive aifair, 
foreign mission societies cannot afford to assume 
responsibility for such an expense. So, unless a 
patient's family can be persuaded to sign a paper, 
exempting the mission from such a responsibility, 
the mission doctor is obliged to refuse an opera- 
tion involving great risk. Besides this custom, 
the fear of surgery is great among most of the 
Chinese people. These two facts limit the num- 
ber of major operations in China. 

In the year 1916-1917 Dr. Tsao added to her 
services some weekly hours of instruction in Gin- 
ling College for Women. In this college, which 
was established through the gracious interest of 
a number of Christian women of the United 


States, the most ambitious and best-prepared 
students who had completed the high school 
course, were admitted; and for this reason the 
student body was of an unusually fine quality. 
Since the Government of China has offered com- 
paratively few educational opportunities to girls, 
until a very recent date, most of the Ginling stu- 
dents were from missionary schools, and a goodly 
proportion were true believers. 

Dr. Tsao was very happy to have a share in 
the further development of these young women, 
and one of their number has told me of the strong 
influence her earnest consistent Christian life ex- 
erted upon the student body. She gave them care- 
fully prepared instruction in physiology, and in 
personal hygiene, and in home sanitation, and 
took time for many personal talks with girls over 
their problems. One of the graduates of Ginling 
College spent a short time with Dr. Tsao in her 
later work in Tientsin, and then came to this 
country to secure a thorough medical education, 
that she might follow in the footsteps of her be- 
loved elder sister in Christ, and give her life also 
to the Lord for spreading His Gospel in China, 
and for ministering in His name to the sick and 
suffering among her own people. 

This young student wrote of Dr. Tsao : "Her 
life was full of service and gracefulness; it is 
hard to illustrate her. Many patients found com- 
fort and relief by talking to Dr. Tsao, and many 
were helped merely by her presence with them. 
She was not only a physician to them, but also 
a comforter and counsellor. Oftentimes she 
would sit by the bedside, and talk with them for 

The same student gave a beautiful illustra- 

tion of Dr. Tsao's combined medical and spiritual 
ministry in the case of an interesting young 
couple in Nanking. The husband had been edu- 
cated in Germany, and filled an important city 
office. The wife had only a Chinese education, 
and Dr. Tsao's help was sought for her because 
she was childless, and most unhappy in the fear 
that another wife might be taken should she con- 
tinue to be childless. According to Chinese tradi- 
tion and custom, the presence of a son in the fam- 
ily is absolutely imperative for the continuance 
of ancestral worship, a strongly intrenched reli- 
gious rite. Dr. Tsao, with her large heart of sym- 
pathy, quickly grasped the situation, and prayer- 
fully set about their deliverance. She added to 
her medical advice social visits in the home, 
graciously suggesting modern improvements in 
the household, and many little ways of winning 
her husband's approval and admiration. At the 
same time she interested the husband in Christian 
books, in scientific books, and in the Bible. It 
was not long before the couple were noticeably 
more congenial, and they began to attend chapel 
together. They saw much of Dr. Tsao's consist- 
ent Christian living, and it had great influence 
upon them. The husband later gave valuable help 
to the doctor, in establishing health exhibits and 
lectures on hygiene, and municipal provision for 
more intelligent care of the sick. This was only 
one of many homes where the entrance of God's 
messenger brought order out of confusion, and 
peace out of great destruction and sorrow. "How 
beautiful upon the mountains are the feet of them 
that bring good tidings, that publish peace." 


Annual Report of Friends 9 Hospital 

Nanking, China, May, 1917. 
Dear Friends: 

Very often while I work and talk with the 
patients I am reminded of the fact that this hos- 
pital has been, and still is, such a blessing to hun- 
dreds and thousands of sick women and children, 
rich and poor. Not seldom do I begin with those 
who have never heard about our Lord Jesus with 
this question, "Do you know who built this hos- 
pital, and why was it that the foreigners spent 
so much money in building it? If you think it 
is not a money-making proposition, what is it 
then?" The door is now open and the way clear 
for me to tell them about the great love of our 
Heavenly Father to send down His only begotten 
Son to die for us, and it is because of this same 
great love in the hearts of our foreign friends, 
that this hospital is built. Since I have been here 
and have seen the great amount of good this work 
has done for the suffering, I daily pray that the 
Lord God Almighty will greatly bless you and 
give you joy through this branch of your work. 


The work in the dispensary always proves 
very interesting. There are all kinds of diseases, 
from the slightest every-day ailments to the rare 
and incurable cases. Some out of poverty, some 
of ignorance, and some because they do not be- 
lieve in foreign medicine, have waited so long 
that it makes the healing and doctoring very hard 
for us. Owing to the lack of separate wards, we 
have to refuse admittance to those with incur- 
able diseases and also those with bad tubercular 
lungs. Often we feel that some of these are the 
very ones we ought to take in, for their days in 


this world seem to be numbered, and how urgent 
it is for them to come to know Him as their Sav- 
iour. Our two faithful Bible women, Mrs. Tsai 
and Mrs. Tsu, are very earnest and seize every 
opportunity to tell them about Jesus Christ. 
Next among our dispensary patients are those 
with all kinds of skin diseases, some very trying 
and slow to heal. Hundreds of minor operations 
are performed under local anesthetics, as the 
opening of boils, abscesses, carbunc'es, fistulas 
and the like. Our number this year came to 
12,578, larger than other years because I held 
some very large clinics in one of the Government 
poor children's homes. So many hundreds of the 
boys and girls have trachoma. One thing we no- 
ticed about the dispensary patients which pleased 
us very much, is that more and more come to 
us, and keep on coming until they are entirely re- 
lieved of their trouble. This is very encouraging. 


Although our wards were not full all the 
time, our four private rooms were in constant de- 
mand so that finally we had to give up our dining 
room to be used as another private room. We are 
glad that more of the richer class and also more 
of the official class are coming to us, for these are 
the hardest to reach. It is quite out of the ques- 
tion for Bible women to visit them without know- 
ing them first, and just a very, very few of them 
ever come to church ; so we are so happy to have 
them come to us. While they are under our roof 
we have the golden opportunity to tell them about 
Him. They daily hear the singing of hymns, and 
they have remarked to me saying, "How happy 
the girls seem to be". We had women from such 
families in the city and then also had them from 
cities some 50 or 70, or even 100, miles from Nan- 

king. Through some very good friends of mine, 
I became acquainted with many, and I make it a 
practice to go and call on them, (I only regret 
that I do not call oftener), and at their homes I 
meet and make friends with others. I am more 
and more convinced of the exact truth of these 
verses, "How hard it is for them that trust in 
riches to enter into the Kingdom of God. It is 
easier for a camel to go through a needle's eye, 
than for a rich man to enter into the Kingdom 
of God", "but nothing is impossible with God". 
I am much interested in the work of the Women's 
Social Service League in Nanking, and I take an 
active part in it for we must become friends to 
these women before we can win them for Christ. 
If I were to re-live my five years in Nanking, I 
certainly would have a home of my own ; then 
more of these ladies would come to see me and 
visit with me, for they still do not feel at ease 
when they know that there are foreigners living 
in the same house. My heart goes out to them 
very much because they seem to be so satisfied 
in themselves. Most of them do nothing but go 
to theaters, card parties or domino parties, smoke 
cigarettes, ride around in carriages and automo- 
biles and wear the best and latest fashions. Al- 
though only a very few of these ladies ever come 
to any decision while they stay with us, yet we 
can sow the seed, and pray to our Heavenly 
Father in His mercy to shine and rain upon it 
that it may bring forth fruit in due season. 
Among the very few are two Mrs. Chens, who be- 
came probationers a week ago last Sunday. We 
came to know one of them very well through her 
only daughter, Miss Miao Yoh, who is an invalid 
with tubercular spine trouble and has to wear a 
plaster-of-paris cast all the time or else she can- 


not walk or even turn in bed. With it on, she 
can walk and even jump. Mrs. Chen's late hus- 
band was a military officer, and her father-in- 
law is a land owner and business man. Although 
she has become a probationer it will be so hard 
for her to join the Church, for her father-in-law 
must have ancestral worship in his household. 
Her daughter is also a probationer. The other 
Mrs. Chen belongs to an old-fashioned official 
family. While her husband lived she could not 
often come out. She, being the second and favor- 
ite wife of Mr. Chen's, did not treat the first 
wife any too kindly and made many things un- 
pleasant for her. Their husband died nearly 
three years ago. Ever since his death she has 
been coming to church regularly, and she has 
changed ever so much during the past year; she 
is much kinder and lovelier to the first wife. 
Please pray for these two. 

There is another couple in Nanking for 
whom my heart yearns very much. He is quite 
a prominent official in the city. Three years ago 
his wife was taken very ill, and, after going the 
rounds unto the old-fashioned doctors, they were 
told by friends to come to us. After a slight 
operation she was healed of her ailment, and 
while with us they adopted a little girl, which was 
brought to the hospital because its mother had 
too many girls. By the adoption of the little 
girl, this home life is far happier, and they love 
her as if she were their very own. These two 
of late come to church quite regularly and they 
are much interested in the Gospel. Please pray 
for this couple. 

During the past year we had 102 obstetrical 
cases, some of them very difficult and dangerous. 
We were able sometimes to save both mother and 


child, but nearly always the mother. The mater- 
nal mortality has been very low. In a great ma- 
jority of cases when we were called put, we are 
able, after much patience and persuasion, to have 
them consent to come to the hospital. We feel 
grateful for this, because it is so much better for 
the patient, and also for us, to have the work done 
in the hospital, instead of in the homes. The 
post-partum care is very important, and there is 
no one in their home who knows how to nurse 
them. We lost several mothers on this account, 
just because of the lack of scientific nursing. 


This past year we have had no abdominal 
operations, but quite a number of minor ones, 
about 51 under general anesthesia. While with 
us and while suffering, they listen eagerly to the 
Gospel, and we pray that they may listen to the 
still small voice of the Spirit. The in-patients 
altogether number 351. 


The hospital staff is made up of six persons : 
Dr. Djang, Dr. Gaynor's pupil; Mrs. Shao, sur- 
gical and obstetrical head nurse ; Miss Tsu, ward 
and head nurse; two druggists, and me. Miss 
Butler very kindly has her two Bible women help 
us with the evangelistic work of the hospital. 

The hospital routine is as follows : 

Breakfast, 7:00 A. M. daily. 

Morning prayer for the compound, led by 
Pastor Gao, 7:30 A. M. 

All the nurses go on duty at 8 :00 A. M. 

Daily clinic except Sunday, from 10 :00 A. M. 
to 12:30 or 1:00 P. M. 

In the afternoon the student nurses spend 
two hours in studying. Both Dr. Djang and I 


teach some, if we don't have to operate or make 
out-calls. Of late I have been trying to teach 
one and one-half hours or two hours. 



These two institutions daily prove to be bless- 
ings to ever so many. The nurses nurse in our 
hospital as well as in the one where all of the pa- 
tients are foreign. We have had many serious 
cases there this past year, and the strength of 
the foreign superintendent nurse was taxed to 
the limit. The Memorial Hospital occupies such 
a fine locality, just the place for rest; for it is 
away from the other buildings and in a very 
quiet place. The nurses number twelve this year, 
with one special student. The class we took in 
last fall is doing work of a higher grade and they 
will be given subjects the others have not had; 
for these are so much better prepared. It has 
always been a regret of mine ever since I came 
here, that we have had no regular nurse to train 
them. Had we a nurse, I am sure these girls 
would learn more and be better prepared for their 

While I am writing this report I am still un- 
decided whether I will return to this work after 
I come back from my furlough. I have enjoyed 
the fellowship with, and companionsship- of the 
other members of this mission so much and I do 
hate to leave this work. I have learned to think 
that it is mine. Dear, dear friends, please pray 
for me that I may come to an early decision, and 
to decide just the thing the Lord wishes to have 
me do, and be in the place where the Lord wishes 
to have me be. 

Yours in the hope of His coming soon, 

Li Yuin Tsao. 


During her whole time of service in Nanking, 
Dr. Tsao gave medical help also in the Memorial 
Hospital for foreigners, and many missionaries 
availed themselves of her skill, and of her ever- 
ready help in prayer and counsel in times when 
serious problems were before them. She came 
into close touch also with the members of the 
Board and of the faculty of the Bible Teachers' 
Training School in Nanking. After she left Nan- 
king, a member of that faculty, who was in the 
United States for a year's furlough, took the 
trouble to stop in St. Louis en route from East 
to West, to talk to Dr. Tsao's American home folk 
of her beautiful life among them, of her pecu- 
liarly close fellowship with the Lord, of her great 
loving spirit to all, of her patience under every 
circumstance, and of her generous cooperation in 
every effort to glorify God. She had become a 
devoted friend. 

During the year 1917 Dr. Tsao faced the 
question of God's further leading for her, since 
her contract for five years of service with the 
Friends' Mission would expire in November, 1917. 
She had many considerations in mind. Her be- 
loved elder sister who had been her co-worker for 
sometime, had become an invalid, with little pros- 
pect for a return to health, and needed the con- 
stant care of a nurse. Dr. Tsao assumed the re- 
sponsibility of her support, and needed larger 

As her Annual Reports to the Home Board 
have indicated, she felt the urgency of reaching 
with the Gospel, the secluded, neglected women 
of the gentry and of the official classes. To ac- 
complish much in that direction, she felt that a 
residence of her own was necessary, and this 
would entail more expense. Last of all, she had 


an urgent request to assume charge of an estab- 
lished Government hospital for women and chil- 
dren, which had been left without a superintend- 
ent, and which would almost necessarily close its 
doors, should a capable superintendent not be 
found within a reasonable time. This was the 
only hospital for women supported by the Govern- 
ment in all China for many years, and situated in 
Tientsin, an important city in North China, near 
the coast, and also within easy reach of Peking. 
It was a stratetgic point to hold for those inter- 
ested in the propagation of the Gospel. 

When first approached with the request for 
her consideration of the Peiyang Women's Hospi- 
tal superintendence, Dr. Tsao replied promptly, 
to the effect, that as she was interested in making 
known the Gospel of the Lord Jesus Christ, she 
could not accept a proposition which would nec- 
essarily preclude Christian propaganda ; since the 
hospital was under direct control of the Chinese 
Government, and the Chinese Government did not 
recognize the claims of Christianity. The com- 
pensation proffered was about three times the 
amount offered by most foreign mission hospitals, 
and the opportunities for building up a large 
work were unusually great. 

To her surprise, a second letter was received, 
in which the secretary of the Board assured her 
of the willingness of the Board to allow her the 
privilege she desired, of teaching her faith. This 
seemed a marvelous concession, and a less 
thoughtful and less prayerful woman might easily 
have agreed to make terms with the concession. 
But since Dr. Tsao's first aim in life was to "hold 
forth the Word of Life," and since she knew the 
various tortuous method of slipping out of verbal 
agreements, used by lawyers and officials of vari- 


ous lands, including her own, she looked to the 
Lord for further definite leading. Our God never 
fails to meet the trusting heart, and He gave His 
child very explicit guidance. She wrote to the 
secretary that she greatly appreciated the conces- 
sion made by the Board. She further stated, that 
any contract made between them must be care- 
fully drawn and in every detail committed to 
writing, which would be endorsed by the personal 
signatures of all Board members, and of all Gov- 
ernment officials connected with the Hospital in 
any way. 

She then drew up a contract, which she would 
be willing to sign with them, undertaking on her 
part all the duties and responsibilities they had 
desired her to assume, and they were heavy, 
requesting on their part the guarantee to her of 
full liberty to control the teaching and policy of 
the Hospital, to select her own assistants and 
nurses, and to carry with her two Bible women, 
who would not be hindered in any way, in their 
Gospel work. Her fellow missionaries in general, 
after reading her contract, felt sure that the door 
in that direction would be closed. No Chinese 
officials, no Board of Directors, would, in their 
opinion, consent to any such contract. 

"But God I" How it changes the whole out- 
look when we recall that phrase so often used in 
the Scriptures! But God had a plan for His 
faithful child; He had a work for her to do in 
His name in that northern city, and He led those 
unbelieving officials to sign their names to just 
that contract, drawn up in part by a young Chin- 
ese woman. With such evidence of God's hand 
guiding her, no one of her beloved fellow-workers 
in Nanking could hesitate to see, that her next 
work was in Tientsin, and to commend her to the 


work to which the Holy Spirit had separated her. 
Dr. Tsao stayed with the Friends' Mission some 
months after the close of her contract with them, 
in order not to leave the work she loved there' 
without the suitable workers, for whom they 
needed to wait for a time. 

The last official letter written to the Foreign 
Mission Board of her friends in Ohio, by Dr. 
Tsao, is a very sweet note of praise to her faith- 
ful God, who had stayed so close by her side 
through the full term of service in Nanking. She 
gives to Him all the praise and glory. She is also 
very careful to make it plain to the home work- 
ers, thit there was no hidden unpleasantness in 
her relations with other workers, nor any other 
wrong condition on their part, which led her to 
sever her connection with the Mission. She had 
sought guidance from above,' and He who said 
"I will guide thee with mine eye," had answered 
her call, and had made the way plain. 

, Annual Report of Friends' Hospital 

Nanking, China, April 22, 1918. 
Dear Friends: 

It is with praise and thanksgiving upon my 
lips and in my heart that I again write the An- 
nual Report of the Nanking Friends' Hospital. 
At this time there is a mixed feeling within me 
for I realize that this is the last report I shall write 
on the work of the above mentioned hospital. It 
was the first of November, 1912, when I took 
upon me the responsibility of the school, and on 
the fourth, I became also the acting superintend- 
ent of the Union Nurses School. Young and inex- 
perienced, I at once felt that I was not fit for 
the work and was not able to do it justice. But 
having been taught from my childhood to trust 


in God, and to take to Him all the problems and 
difficulties, I took courage, knowing that if He 
called me here, He would certainly supply all my 
needs, and indeed He is ever faithful to His prom- 
ises; He has been so tender and so near at all 
times. When tact, patience and graciousness 
were needed He gave them unto me, and when 
firmness and discipline were necessary, my Heav- 
enly Father also supplied them. At the end of 
my stay here I can say with a full heart, that I 
thank God for the Christian fellowship, the many 
kind friends, and the numberless blessings He 
gave me and also for every trial, disappointment 
and even pain; for each time He was faithful to 
His promises, that my trust and faith in God were 

If you will pardon me, I shall take this op- 
portunity to explain a little my reason for not 
renewing my contract at the end of this one. I 
have received several fine letters from the mem- 
bers of your Board, and I do appreciate their 
kind thoughts of me, and my service rendered to 
the China Mission. 

For the last two or three years, and parti- 
cularly during this past year, my closest friends 
and I have prayed earnestly for the Lord's direct 
guidance in the choice of my future place of work. 
New financial responsibilities have befallen me, 
and with the salary your Mission offers I would 
be in no way prepared to meet them. Then also 
ever since I have been in Nanking, my aim has 
been to reach and work among the so far un- 
touched field, that is, the women of the richer 
and official classes. They have been for so long 
cut away from contact and isolated, that in order 
to work among them, we must first become 
friends. This leads to my next reason. For my 


aim, I shall have a nice home of my own outside 
the compound, where I can have my social inter- 
course with my friends, and where I can enter- 
tain without inconveniencing anybody else. I will 
have a co-worker, not medical but evangelical. 
But this does not take only time and energy, but 
also means. At first I did not intend to go into 
this, but lest I should be misunderstood I added 
this paragraph for explanation. At present there 
are several doors open for me, and I feel confident 
that my Father in Heaven will lead me to enter 
the right one. 

The Spring of 1917 was rather dry and the 
people round about us suffered some from lack 
of water. Our hospital is so fortunate in hav- 
ing a fine forty-five foot well which has never 
gone dry. We were anxious, for with such 
weather diphtheria and other throat affections 
abound; but later we had some rainfall, which 
filled up the numerous ponds and wells. 

On May 3rd, our hospital met with an acci- 
dent, in that the entire roof and chimneys of the 
operating room were blown off by a cyclone. We 
were scared, but nevertheless the nurses and one 
foreign gentleman, who came in to assist, and I 
moved all the patients downstairs to the first floor, 
not knowing whether or not the cyclone would 
do more damage. The roof went off in toto, so 
that the ceiling was not hurt; although carpen- 
ters came at once and covered it with boards, that 
same night it rained so we had to give our operat- 
ing room a new ceiling, as well as a new roof. 

This year another class of three nurses grad- 
uated. On May 27th Mr. A. V. Gay, A Presby- 
terian minister, preached the Baccalaureate ser- 
mon, and on June 1st the Commencement exer- 


cises took place. The procession was a long and 
interesting one. Four American nurses from 
the Nanking Language School, Miss Hynds, the 
superintendent nurse of the Nanking Foreign 
Memorial Hospital, and four of our own elder 
graduates, with the three just graduating, made a 
line of twelve in white uniforms and caps, which 
was followed by nine pupil nurses in blue uni- 
forms and white aprons. It was a very imposing 
sight, which placed the nursing profession where 
it ought to be, that is, a respected profession. 
The main speech was delivered by K. S. Lui, Ph.D. 
On the next day, the graduates had a reception 
on the lawn, for their relatives and friends and 
the Board of Management. 

On July 5th Miss Butler, Miss Stanley and 
I left for Ruling. I enjoyed the rest and the 
cool weather and the beautiful scenery so much. 
It is fine, that there is a place like that for the 
tired and weary workers to rest and build up. 
While there I had the good fortune to hear Dr. 
Zwemer talk on Mohammedism. His talks were 
so uplifting. August 16th, Miss Stanley and I 
came back. Then Dr. Djang left for her vaca- 
tion, coming back the first of October. 

Our clinic during the past year was quite 
full, and during the warm summer* months our 
daily average was seventy or eighty, and some 
days more; for the children had boils and ab- 
scesses and many other kinds of summer com- 

Toward the latter part of October, our clinics 
gradually dropped off, and we wondered at the 
reason. Before long we were told that there was 
a "Dr. Devil" outside the South Gate healing all 
kinds of incurable diseases. The thing to do was 


to sleep for one night in the open in that place, 
and the disease was cured. Thousands upon thou- 
sands flocked out to the place. May the Lord 
have mercy upon such ignorant and superstitious 

In the number of difficult obstetrical cases 
our last year's record showed the highest. To- 
ward Chinese New Year some days we had two 
or three bad cases. We were so thankful that 
the maternal mortality was zero. During the 
whole year there were about 100 cases and the 
in-patients numbered 357, with 9,897 clinic pa- 
tients. Our private rooms were in demand most 
of the time, and on one or two occasions we ac- 
tually did not have enough rooms for our well- 
to-do patients. 

One of our new Christian nurses was re- 
ceived into the Church membership. Her hus- 
band died, when she was a bride of only a few 
months, and her mother-in-law treated her very 
unkindly, so that her own father had to take her 
away from her husband's people, and place her 
under the care of the Union Nurses' School. She 
is a young woman of quiet and patient nature, 
and although she does not talk much, the patients 
are impressed by her kind and gentle manner. 

Here is a little girl who must have a plaster- 
of-paris cast put on two or three times a year, 
and whenever she comes, being the only daughter 
of a widow, her mother comes with her. Mrs. 
Chen has been so sad, because all her hopes and 
ambitions were for this only daughter of hers, 
and she now is an invalid. I often feared that 
should the little girl die, the mother would cer- 
tainly lose her mind; but I am glad to say that 
she has found Christ, who can give real peace and 


comfort. Mrs. Chen was taken into Church mem- 
bership at the same time with the nurse. On the 
same Sunday our non-Christian assistant drug- 
gist was received as an inquirer. Sometime ago 
another Mrs. Chen became an inquirer ; she is the 
second wife. Her husband is now dead, and she 
and the other wife did not live very happily to- 
gether, for Mrs. Chen had a fiery temper; but 
ever since she became an inquirer, she is much 
better and kinder to the other Mrs. Chen, who is 
the legal wife. Let us pray for her, that she will 
let the Lord teach her how to control herself. 

A few days ago a patient came to see me, 
and I hardly recognized her; but when she spoke 
I at once knew who she was. Three years ago she 
was operated upon, and had a large ovarian cyst 
removed. When I asked her about the doctrines 
she had heard while here, she said,. "I often pray 
to God, to Jesus, to make me good, and to make 
me to understand this doctrine more. I never 
cease to thank Him because he saved my life three 
years ago." Pray for her, dear friends ; there are 
many like her, who receive a little, while with 
us, then for years and years do not hear a word 
about the Gospel. 

Our two faithful Bible women, Mrs. Tsu and 
Mrs. Tsai, still do the same work with the pa- 
tients ; talk to the clinic patients while they wait, 
and then teach the in-patients to read texts. We 
had a little girl here who had a tubercular ankle, 
who learned to read many chapters in the Bible 
and several Gospel stories. She was only twelve, 
but she seemed to understand so much. This year 
Mrs. Tsu spends a good deal of time visiting the 
old patients. Some of them welcome her and ask 
her to go again ; but many of them are afraid of 


Dr. Tsao in Nanking with Miss Ting, later her successor 

in Tientsin 

ridicule and persecution that they show her that 
she is not wanted. 

May the Lord Jesus Christ greatly bless His 
work in the Nanking Friends' Hospital, and may 
He also pour His richest blessings upon those 
who make this work possible. 

Yours in the hope of His coming, 

Li Yuin Tsao. 

Dr. Tsao continued her varied lines of ser- 
vice, taking active part also in the Evangelical 
Y. W. C. A., of Nanking, and maintained a regu- 
lar correspondence with her American home, and 
with the dear young woman whom she sent over 
here for a college and medical education in the 
year 1914. The following clipping from a letter 
written by this student will make plainer than 
any other description, how large a part Dr. Tsao 
played in the development of her Christian life. 
We will hear more of this medical disciple later. 

Dr. Ting's Letter 

"As I promised you in my last letter, that 
I would tell you something of my first acquain- 
tance of Dr. Tsao. I recall very clearly of my 
school days at McTyiere School. I was in the 
first grade and she then a high school student. 
We younger girls i $ed to call her sister La Yuin. 
She was popular among her playmates. I ad- 
mired her even when I was a first grade student. 
She could play the piano, and was able to use 
the English fluently. She was beautiful, as well 
as talented, and my little mind was full of ad- 
miration for her. My admiration grew as I grew 
in age and experience. I was too young then to 
be her friend, but she had a friendly smile for 
me, as well as her other younger playmates in 


school. Of one instance I remember clearly. We 
were having dinner at one table one evening. I 
told her that I was anxious to learn how to sing 
hymns. Before attending McTyiere I never heard 
a hymn sung. She told me that after a few 
months I would be able to use my voice correctly, 
and would be able to sing hymns as well as other 
older girls in school. She said that in a most 
friendly way, so that I was much encouraged to 
try next time. I do not remember much about 
her after she left McTyiere for Japan. I saw her 
once or twice during summer vacations. 

I did not get to know Dr. Tsao until she re- 
turned from America. I was sick with typhoid 
at a hospital. It was Fall of 1912. Miss Tsao, 
her sister, accompanied her during this visit. 
She was then a young doctor, just fresh from 
America. She wore a simple white linen dress, 
and she looked so strong and healthy. She came 
to my sick room with her sister. Seeing such 
a well-poised doctor before me, I have forgotten 
all my ailments. I talked and asked her many 
questions. My youthful mind was just full of her 
that evening, and I unconsciously determined to 
study medicine, after her visit. 

Right after her return, her mother, Mrs. 
Tsao, left her to be with the Lord. The latter was 
a sweet Christian woman, and had a good word 
for everybody. I was sick for eight weeks at the 
hospital. Dr. Tsao visited me again shortly after 
her mother's death. Fleshly speaking, it must 
have been hard for the doctor to have her dear 
mother go so shortly after her return. However, 
I noticed during her visit, she never said any- 
thing about her mother's going. She amused me 
the whole afternoon, and that visit did more good 
to me than medicine. 


The same fall she took up a position at a 
Quaker hospital at Nanking. That decision of 
hers was more than a surprise to me. Dr. Tsaq 
with her talent, her training, and her magnetic 
personality, could put up a private practice at 
Shanghai easily. Instead, she took up a humble 
position at a hospital, and would be satisfied with 
a small salary. The latter was too small for a 
young doctor. She must have had her earthly 
ambition, only she answered the call of God in- 
stead of that of man. In the fall of 1913, she 
needed some one to help her nurses in English. 
Because of her personal example, I was willing 
to go to Nanking at a very small salary. During 
the summer of 1913, the doctor gave a talk to 
students at the Y. W. C. A. conference. In a 
most earnest and interesting talk, how she 
pleaded to the students to sacrifice themselves as 
living sacrifices to God. By this, she meant for 
us to serve God with our special training. When 
she offered me a small position at her hospital I 
was willing to go. My going meant that I had 
to leave Shanghai, and at the same time to accept 
a smaller salary. I was then a high school grad- 
uate and a few dollars' difference meant a great 
deal to me. However, because of the doctor, I was 
willing to give up what seemed to me then, a big 
sacrifice. During my happy year with her, 1 
learned many valuable lessons of life. She was 
so sisterly to me that I was not ashamed to let 
her know my mistakes. Gently she led me to 
know more of our dear Father in Heaven. Sis- 
terly, she told me of my weak points, although 
I loved the doctor as if she was my own sister. 
During my year at the hospital with her I noticed 
her skilfulness in her profession, her gentleness 
to her patients, her kindness to her friends, and 


her thoughtfulness to her nurses. The combined 
personality won my admiration. Gradually I 
learned that her combined personality was a gift 
from God. She lived so close to Jesus that her 
actions spoke love. It was the same happy year 
that she introduced me to her dear friends in 
St. Louis, whose Christian home we both enjoyed 
during our long stay in America." 

Dr. Tsao was one of a great people who do 
not share the unseemly hustle and bustle of our 
people of the United States. Their common ex- 
pression in any enterprise is "man-mandy, man- 
mandy", which, interpreted, is "go slowly, go 
slowly," in marked contradiction to our over- 
worked phrase, "hurry up, hurry up !" She was 
not trained in hurried ways; but alas! neither 
the Chinese nor any other known people are by 
nature free from the blasting sin of .worry; this 
is exclusively the work of God's grace in the re- 
generated heart. This gift of grace was accepted 
by our dear Dr. Tsao, among other rich provi- 
sions of His grace for the ease and joy of His 
own people. 

She made her arrangements for the move to 
Tientsin, where greater responsibilities awaited 
her, with much waiting upon God, and was not 
left without His leading in choosing her nurses, 
her Bible women, and her assistants in profes- 
sional work. In China it is customary for a phy- 
sician who assumes the superintendency of a hos- 
pital, to choose and secure all the assistants 
needed for the work. Especial care was needed 
in this move, because the institution was to be re- 
arranged in every department, so that it might 
be conducted to the praise of God. It was essen- 
tial that the assistants should be of one mind and 
of one heart with the leader. 


Dr. Tsao took time also to see many of the 
friends in Nanking who had become interested 
in God's Word, but had not yet come to a decision. 1 
These she loved to help to a clearer understand- 
ing of the truth, that the risen Lord might see 
of the travail of His soul, and be satisfied. 

She was laden with many gifts, and wonder- 
ful silken scrolls with gold-embroidered Chinese 
characters, expressing gratitude, and invoking 
God's blessing and wishing well. When she really 
left the city, great crowds of all classes followed 
her to the station, and the Christians sang their 
sweet hymns for her at parting. 

A Nanking paper stated in an editorial, that 
Dr. Tsao was so beloved, and was sharing in so 
many established Christian institutions, in soul 
betterment and in municipal undertakings for the 
people, that she would be missed more than any 
other ten women of that city. It was thought 
that no other ten women could have filled her 
place. Her own heart felt the wrench keenly, 
also, but she was sustained by the assurance that 
she was in God's will; and to be in His will was 
the great ambition of her life. 

"O, Jesus Christ, Thou suff' ring Man of prayer, 
Help me in prayer Thy sufferings to share, 

That learning at Thy side, on bended knee, 
The deep, sweet lesson of Gethsemane, 

I may repeat with Thee the vict'ry won 
'Not my will, Father, but Thy will be done!' " 

H. W. F. 


Chapter IV. 
Life in Tientsin 

''Strengthened with all might, according 

to His glorious power, unto all patience 

and long suffering ivith joyful-ness" 

Col. 1:11. 

Tientsin was not altogether new to her, for 
she had been called there to attend her very ill 
elder brother, a year or two previously. She had 
spent three weeks with him, leading him, who was 
a Christian, into deeper spiritual truths, which 
had so enriched her own life. She enjoyed very 
pleasant fellowship with him and his dear wife, 
until the Lord took him to be forever with Him- 
self. This brother, F. K. Tsao, had been for some 
years in official life, and at the time of his death 
was an official in the most extensive railway sys- 
tem in China. Through him, Dr. Tsao had be- 
come acquainted with some of the good families 
of Tientsin, who helped to open the door of wel- 
come more widely to her. 

Dr. Tsao entered upon the arduous under- 
taking in Tientsin, upheld by an indomitable 
faith, well grounded in God's exceeding grace and 
precious promises, and upheld also by the effec- 
tual, fervent prayers of many of God's people in 
China and in the United States. She had taken 
with her from Nanking an assistant, who had 
enjoyed some medical training in China, two grad- 
uate nurses of her own training school, and two 
Bible women from the Friends' Mission, with 
which she had been associated for nearly five and 
one-half years, in Nanking. 


Her financial compensation at the Peiyang 
Woman's Hospital was large for China, and about 
three times as large as the usual amount given to 
the foreign medical missionary in China. But she 
found that she was expected to so conduct the 
work, that all repairs and improvements should 
be earned through the hospital and associated 
work, in addition to caring for many hundreds of 
patients who would not be able to supply their 
own medicines. Naturally, also, she would ex- 
pect to be financially responsible for her Chris- 
tian Bible women. 

The Peiyang Woman's Hospital had passed 
through many experiences, and its financial his- 
tory had not been eminently satisfactory. The 
Board of Directors did not know much of the nec- 
essary equipment of the working hospital, and 
had made no provision for many expenses which 
were absolutely necessary for its continuance. 
Much thrift, and tact, and good judgment, and 
patience, were needed to make things go, and the 
superintendent's salary had to be stretched over 
a multitude of deficiencies. 

But Dr. Tsao knew a higher source of power 
and of all resources, from which, in the secrecy 
of her own room, she drew supplies by the prayer 
of faith. God never failed her ; "God is faithful." 
She had learned much of missionary economy 
during her experience in Nanking. Before she 
left the United States for China she had been de- 
livered by this same wondrous source of power 
from the claims of a self -life, which usually ex- 
ceeds all other demands made upon a worker. 
Therefore, she was able to meet the situation as 
it existed ; and, as one by one, repairs were made, 
and new needs were met under her administra- 
tion, her directors became more deeply interested 


in the institution, and took a more active share 
in the improvements. 

After systematizing her new work, in addi- 
tion to the daily clinic of from 50 to 70 patients, 
and the regular hospital service, she found time 
to do some work in private homes. As her ac- 
quaintance increased, she easily won the confi- 
dence of the people, and came to be much sought 
after by the gentry, and by wealthy citizens, for 
her medical, surgical and obstetrical judgment 
and skill. 

The fees received from private work, it was 
her privilege to use at her own discretion; the 
Board of Directors made no claim upon them. 
She took the opportunity to enlarge her useful- 
ness, helping to educate girls who were willing 
to study, and ready to serve ; supplying the needs 
of many of the poorer patients ; making it possible 
for others to secure work for support ; and always 
having time for personal conversation and coun- 
sel with those seeking for light, ready to serve 
her beloved Master in every possible way. 

Dr. Tsao early associated herself with the 
Y. W. C. A. of Tientsin and was active in personal 
work with the girls and the women who formed 
the membership of the Association. She was 
elected President of the Board of Directors soon 
after her arrival in Tientsin, and held the office 
until her death. Her good judgment was much 
sought after by secretaries and Board members, 
because she lived near enough to her Lord to have 
the mind of Christ in solving problems. Many 
times she wrote to her American home of the joy 
of service, and of her heartache over those Chris- 
tians for whom the world held so much charm, 
and who seemed to know nothing of the life of 


separation unto Himself. She wrote so regret- 
fully of the worldly habits brought back to China 
by Chinese students from the United States col- 
leges, especially the too great familiarity between 
the sexes, immodest dressing, and promiscuous 
round dancing. The Chinese, who did not know 
that our United States is Christian in name only, 
could not understand the inconsistency between 
Christian doctrines and such practices. She had 
many earnest talks with returned students, who 
visited her in her professional capacity, and she 
pled with them and prayed with them, that in- 
asmuch as many had professed Christ as their 
Saviour, they would also yield their lives to His 
complete control as their Lord. As in the experi- 
ence of many another witness of the risen Lord, 
some nearkened and entered a life of "peace and 
joy in believing"; others refused full loyalty to 
the One who "Himself bore their sins in His own 
body on the tree," and failed to have the witness 
of the Holy Spirit, that they were "sons of God". 

As in Nanking, so in Tientsin, Dr. Tsao con- 
strained by the love of Christ, was always on the 
alert to minister to the soul in need. Her staff 
of workers in the hospital would not have passed 
the rigid test of the examining committee of the 
American College of Surgeons, but they were the 
best she could secure at the time, and she gave 
time and thought to help each one in her special 
need, seeking to help them grow in knowledge, in- 
structing them in better methods, encouraging 
every effort made, and reminding them of the 
God-man, Christ Jesus, "in whom are hidden all 
the treasures of wisdom and knowledge." 

The hospital enlarged its patronage, added 
to its equipment, and increased its usefulness 
from year to year; but far above all this, it be- 


came the center of light, of love, and of spiritual 
power in the great city of Tientsin. We will not 
know in this life how many members have been 
added to the body of Christ through the testimony 
from that bright spot. 

During the year 1921, a great famine visited 
northern China, and money was sent from our 
own and from other countries in large amounts, 
for the saving of lives in that region; but it did 
not meet the needs. It has long been the custom 
among the desperately poor families of China, 
when all other sources of revenue fail, to sell the 
little girls for means of subsistence. Most of 
these girls are sold into lives of shame, and can 
in no other way than suicide he 1 ? themselves out 
of it. Such a company of girls was brought 
through Tientsin, on the way south to a good 
market for them. Dr. Tsao heard of it, and, after 
quiet counsel with her unfailing Friend, secured 
these children, thirty in number. She rented a 
home for them, and undertook their support as 
well as the professional and motherly care of their 
poor starved and sick little bodies. Although 
friends helped in financing the home, the care 
added greatly to her daily program of actual ser- 
vice, and made large demands upon her sym- 
pathy, and contributed to the strain which was a 
factor in the Bright's Disease and high blood pres- 
sure which was discovered a year later. But no 
thought of her own body disturbed Dr. Tsao 
through the long happy months. The hospital 
duties were neyer shirked ; clinic patients had her 
full share of time, and skill, and personal inter- 
est; and in-patients, medical, surgical and ob- 
stetrical, were treated with painstaking skill, and 
with every possible provision for their comfort 
and improvement which the hospital could afford. 


Dr. Tsap wrote to her American home of the 
medical advice given her, which was to take a 
complete rest; but she had no one to assume her 
duties, and she could not lay them down at that 
time, with a good conscience. She wrote to her 
young friend, Dr. Ting, whom she had sent over 
to the United States for her medical education, 
hoping that she might have secured enough hos- 
pital experience by that time to return to China, 
and to take on part of the work in the Peiyang 
Hospital. But, hearing later, that Dr. Ting had 
secured an internship in New York which af- 
forded her unusual advantages, she wrote the 
most sisterly letter to her, urging her to get all 
the experience she could out of it, and not to 
be concerned about Dr. Tsao. She would trust 
in the Lord to send help, as He saw to be most 

Dr. Tsao's Letter to Dr. Ting 

Tientsin, China, Dec. 8, 1920. 
Dear Dr. Ting: 

I am hastening to answer your letter because 
I realize that it sometimes takes months to make 
plans and to carry them out. Be at ease, please, 
I will not hold you to your promise. I wished 
I had stayed longer in the U. S. A. after my grad- 
uation, but I should return, so I had no choice. 
After one is settled down in one's place, espe- 
cially for a doctor, it is most difficult to leave. 
So, my dear Doctor, stay; by all means stay, if 
you have fine opportunities to do post-graduate 
work, whether in hospital or in college. By your 
coming to me next October or November, and my 
staying with you for six months, I could leave 
before June, 1922, and that is the time I can leave 
anyway, whether or not I have any one to take 


my place, for then my contract is up. The Lord 
Jesus may come before that time. 

So there, make your plans ahead, prepare 
yourself well, and when you come home we will 
be so happy to welcome you. I am not that selfish 
to hold you to your promise when you have such 
fine chances to better yourself. May God guide 
you and be with you. 

With much love, 

Yours as ever, 

Li Yuin Tsao. 

Dr. Tsao secured some help in China, and 
saved herself as much as she could, without im- 
pairing the best interest of the work she had un- 

Meanwhile, Dr. Ting had arranged to shorten 
her two years of post-graduate work to one and 
one-half years, so that she might reach Tientsin 
in the early summer of 1922, and release Dr. Tsao 
for a year or more for rest and recuperation in 
her American home. 

1921-1922 was a year which made large de- 
mands upon the sympathies and strength of all 
true Christians of northern China. The famine 
had left in its wake much poverty and sickness, 
and in Tientsin one came into daily contact with 
the sufferers, who crowded into the city for pos- 
sible help. Being one into whose heart the love 
of God had been richly shed by the Holy Spirit, 
Dr. Tsao longed to share with these poor hungry 
souls not only her temporal possessions, but also 
her knowledge of the richness of God's grace in 
Christ Jesus. 

After feeding and medically relieving the 
thirty orphans under her care, she had a teacher 


provided for them, undertaking to fit them for 
useful Christian lives. It was always in her heart 
also to win the wives of the officials and of the 
gentry, and the men of large business, that they 
might be led to accept her Saviour, and to enter 
into the joy of sharing with Him and ministering 
among the poor and ignorant and helpless. Dr. 
Tsao's invalid sister was with her also, para- 
lyzed, and steadily failing in strength, a very 
great sorrow to her loving heart. 

It is marvelous how much she accomplished 
during that year, 1921-1922, and her letters were 
full of others, of the advance in work, of the souls 
coming into the true light, and being added to the 
body of Christ. The hospital work went on as 
usual, and the clinic was sometimes very large; 
there were serious obstetrical cases, requiring the 
utmost skill; and there were difficult surgical 
cases, demanding full use of all one's faculties in 
diagnosis, as well as in operation and in after 
care. The dear famine girls became normal, 
happy children, and gave her much joy. 

Then came the summer, and Dr. Tsao was 
full of delight in the anticipation of the coming 
of her beloved young friend, Dr. Ting, who would 
bring her young strength, and fresh knowledge 
of so many new ways and means in the care of 
the sick, and in hospital equipment and manage- 
ment. She planned to have quiet, heart-to-heart 
talks with her, to acquaint her with her own poli- 
cies and methods, and to help her to introduce any 
helpful innovations she might suggest. She 
wanted Dr. Ting to meet her good friends in 
Tientsin, to know her private patients in their 
homes, to secure the confidence and cooperation 
of the Peiyang Hospital Board of Directors. She 
almost forgot her own physical limitations in the 


joy of planning for her coming; in house-cleaning 
and repairing, and in final training of all assist- 
ants and nurses to do their very best for the new 

Dr. Ting reached Tientsin in June, and at 
once appreciated the fact that Dr. Tsao was a 
really sick woman, and must be saved from every 
possible care and expenditure of strength. Of 
course, they had a few quiet talks together; but 
so many interruptions came to cut them short, 
and there was so much to do in passing over the 
leadership from the elder, experienced, and well- 
known doctor, to the young, inexperienced, and 
unknown successor, that their personal interviews 
alone were quite inadequate. 

Dr. Tsao was urged to arrange for a year in 
the United States at the earliest possible date, and 
did make reservations on a steamer to sail for 
San Francisco on October 7th, but subject to 
change should her elder sister's condition require 
postponement. The elder sister had, during the 
last year, a serious brain lesion, which greatly im- 
paired her mental processes. She was not often 
conscious of her surroundings, failed to recognize 
family and friends most of the time, and therefore 
would not realize her sister's absence. But the 
young sister found it hard to leave her so, and 
only through the assurance of her competent 
medical advisor, that her own tenure of life de- 
pended upon her taking a long rest away from 
all home cares and duties, could she consent to 
arrange for leaving. 

The Heavenly Father was most gracious in 
calling the beloved dear sister to Himself on July 
24th, and this settled the question for Dr. Tsao 
quite definitely. Dr. Tsao wrote on the fly leaf 
of her Bible on that day, "Our Father makes no 


mistakes". After laying away the precious body, 
she gave herself to final preparation for a visit 
to the United States, hoping for restored health, 
and for a happy return to her native land for 
more efficient service in the high calling, to which 
she had been chosen. 

Her last letter to her home people in America 
is subjoined, showing her full self-control, her 
heart rest in the Lord's wise leading and tender 
dealings with His own. 

Tientsin, China, July 29, 1922. 
My dear Home Folks : 

I have been wondering whether you are away 
or in St. Louis. The Summer has been unusually 
warm here this year that there is much suffering 
and sickness from the heat. I do thank the Lord 
that He made it possible for Dr. Ting to come to 
help me out just before the heat. 

My sister went down to Shanghai year be- 
fore last, but last November she came up to my 
place again. She has been feeling about the same 
all along, but during the very warm days she 
lost her appetite. About ten days ago, at mid- 
night, she suddenly had an attack of dyspnea, and 
then had successive attacks at one day or half- 
day intervals. 

On July 24th, at 2 :45 P. M., the good Lord 
took her away to Himself. The Lord heard her 
prayers because she suffered, and has been pa- 
tient and submissive. 

It has been hard for me to decide whether 
I should come to America or not, but the Lord 
evidently willed that I should come, and He Him- 
self has taken my beloved sister into His own 


safe-keeping. The Lord's ways are not our ways, 
He makes no mistakes. 

So now I have decided to leave Shanghai on 
October 7th, by the S. S. President Wilson, which 
gets to San Francisco on the 26th. In San Fran- 
cisco I will telegraph you of the time of my ar- 

Dr. Ting now is doing all my medical work, 
and I am finishing up some family affairs. 

Hoping to see you both so soon, with best love, 
Your, Chinese Daughter, 

Li Yuin Tsao. 

She had long looked forward to this year 
in the United States with her beloved friends, 
and had many plans for increasing her profes- 
sional efficiency with post-graduate work, and for 
enjoying opportunities afforded for deeper study 
of God's Word, under Spirit-filled teachers of the 
Bible. But now she was simply taking the next 
step revealed to her, as His leading, and was leav- 
ing all future plans in His keeping, with no con- 
ditions or reservations. 

Just two weeks after Dr. Tsao's last letter 
was penned, she suddenly became delirious after 
three days of severe headache, rapidly fell into 
unconsciousness, and after three nights and three 
days of unconscious restlessness, she fell asleep 
in Jesus. "She was not, for God took her." She 
had "fought a good fight", she had "finished her 
course," she had "kept the faith", and "hence- 
forth there is laid up (for her) a crown of right- 
eousness, which the Lord, the righteous judge, 
shall give her at that day; and not to her only, 
but unto all them also that love his appearing." 
She had loved His appearing, and the blessed 


Hope filled her with joy. And we can be very 
sure, that there was no disappointment when she 
suddenly opened her eyes in the presence of His 
Glory, and received His glad welcome, "Well done, 
good and faithful servant, enter thou into the 
joy of thy Lord." 

Her eldest brother had been summoned from 
Shanghai, and was with her at the end. When 
about a year before she had been warned by a 
competent medical man in Peking, of threatened 
danger, which might come suddenly, she wrote 
her brother, S. K. Tsao, as follows: 

"As the doctor told me, that I might die 
suddenly from an internal hemorrhage, I wish 
to leave this letter in the form of a will, very 
informal indeed. I have very little to my name, 
and whatever is left me, please distribute the 
articles to the persons named in the list. Good 
bye, but we will meet in Heaven, in the presence 
of our beloved Saviour, and we will never part 
again. Live near to Him and love Him as He has 
loved us. God bless you all. Be good to sister, 
she has done much for us, when we were young." 

One who habitually lives in close fellowship 
with the Lord Jesus Christ, recognizing one's or- 
ganic union with Him, as a member of the body, 
of which He is the living head, such a one needs 
no special preparation for entering into His per- 
sonal presence. We are told in His Word, which 
cannot be broken, that the same Jesus, "who His 
own self bare our sins in His own body on the 
tree, that we, being dead to sins, should live unto 
righteousness", is also "able to present us fault- 
less before the presence of His glory with ex- 
ceeding joy." With such an assurance, life be- 
comes care free and joyful, is filled with overflow- 

V. . ; :. . - 


ing testimony to His abounding grace under any 
circumstances; without it, there can be no real 
peace of heart under brightest circumstances. 

Dr. Tsao's life was "hid with Christ in God", 
and when her Father called her home, she quietly 
passed from His indwelling presence here on 
earth, into the glory of His personal presence 
there, with eyes all love-lit, as He welcomed into 
His Father's House, His own. 

We do not always see much of the fruit of 
one's labors soon after the worker is taken home. 
But in Dr. Tsao's case we have much blessed 
testimony concerning the impress of her yieMed 
life upon many other lives. 

Dr. Me lung Ting, who was led by Dr. Tsao 
into her great ambition to serve her Lord through 
medical and spiritual ministry to her own people, 
wrote to her American family on the day follow- 
ing her death. She recalled that "on the same 
day, August 14th, eight years before, Dr. Tsao 
had taken me out to the steamer which would 
carry me to America. Dr. Tsao had a long sis- 
terly talk with me. Now I see that God planned 
for me to carry on her work. Recently she had 
another talk with me. Now I see that God had 
sent her to come and talk to me. I loved Dr. 
Tsao as much as I loved my own brother. This 
is all too much for me. But I remember a verse, 
"My grace is sufficient for thee." 1 now begin 
to see His will for me. God plans everything, and 
we must learn to submit ourselves to His will. It 
was the 14th of August, 1914, that I sailed for 
my long journey. No one would ever suspect that 
the doctor would leave for her heavenly journey 
eight years afterward on the same day. It has 
been too sad an experience for me. However, 


Dr. Tsau in the last year of her earthly 

I am learning to say that "God makes no mis- 
takes." During my eight years' absence we be- 
came better friends every day. During my col- 
lege days I had only one desire, that was to be- 
come a trained woman like my friend. I never 
can forget our talk together one night before I 
left for America. To live a life of Christ was her 
theme. Whatever my friend said to me, I lis- 
tened, because she lived such a Christ-like life 

During my long stay in America Dr. Tsao 
wrote me regularly. Her letters were full of 
happy news. She was happy in her work. Little 
I realized that we could be together only two 
months after so long a separation. It was a 
happy day, when we saw each other again on June 
10, 1922. We did not say much for we were too 
happy. Sad things have happened to her since 
her return. First, her beloved mother left, then 
her brother, lastly her sister has been sick for 
the last five years. My friend looked thinner to 
me. She had the same kind, smiling face, only 
older in appearance. 

On the 24th of July her sister, Miss Tsao, 
left. This happened while the doctor was away. 
When the sad news was told, she went to her sis- 
ter's bed with her usual poise. That night she 
wrote in her Bible, "God makes no mistakes". 
Fleshly speaking, it was a sad event for her, but 
she went about with her usual smile. I never 
dreamed that three weeks afterward our beloved 
doctor would leave us. 

Now our beloved doctor has left us. Her 
spirit lives with us forever. Things are going 
on as if she were here. God has taken her away. 
We believe He will give us the strength to carry 


on this work. Through our work we reach at 
least twenty thousand women and children each 
year. Oh! dear friends, you do not know how 
much I miss my friend and sister. There is my 
flesh side. One often feels hungry for human 
sympathy. I do not mind work, but I do not know 
how to deal with people. 

Yours lovingly, 

M. I. Ting." 

Another dear Chinese girl first knew Dr. Tsao 
at Ginling College, Nanking, being in her classes 
in physiology and hygiene. Her heart was much 
drawn to her and she sought personal talks with 
her. Her faith was strengthened, and as she saw 
more of the large way in which God was using 
Dr. Tsao for His Glory in Nanking, she deter- 
mined that she would follow in her footsteps. 
She is now in the United States in one of the best 
medical colleges, having thorough preparation for 
the work. 

Dr. Tsao graduated twenty-two nurses in 
Nanking, and in not one case did she fail to im- 
press God's claim upon her life. One cannot mea- 
sure with human standards the work done among 
hundreds, even thousands, of patients cared for 
during the ten years of her actual service in 

The following letter was sent by the Board 
of the Bible Teachers' Training School in Nan- 

The Board of the Bible Teachers' Training 
School of Nanking wish to express to the rela- 
tives and friends of the late Dr. Li Yuin Tsao, 
their deep sympathy in their sorrow. The 
life and work of this devoted Christian and effi- 


cient physician, will long be remembered by us 
and the people of Nanking, to whom, through 
God, she was made a great blessing. We miss 
her wise counsel, and the spirit of her love and 
patience, which she so beautifully manifested 
among us. In her death, we as a Board, feel we 
have met with a personal loss, and pray that 
others may be raised up to labour for the Mas- 
ter's Kingdom as she has done. 

Margaret A. Holme. 
Ella C. Shaw. 
Mrs. Z. N. Tsiang. 
Christiana Tsai. 
Committee on Resolution. 

A letter of appreciation was received from 
Dr. Clara Marshall, dean of the Woman's Medical 
College of Pennsylvania, who always took deep 
personal interest in her students. 

"It gives me great pleasure to record my im- 
pressions of Dr. Tsao, while a student of the Wo- 
man's Medical College of Pennsylvania. 

Handsome, dignified, able, always courteous, 
Dr. Tsao's personality made a distinct and agree- 
able impression upon her associates. She had 
besides, what might be described as poise, which 
made her judgments sane and her attitude in 
general so satisfying both to her instructors and 
to her class mates. 

Taking active share in all college activities, 
Dr. Tsao displayed the qualities of leadership. 
Her mental, moral and spiritual attitude toward 
life, combined with the attributes already men- 
tioned, aroused the most sanguine expectations in 
regard to her future career, which was to be so 
short yet so fruitful in beneficent results. 


The loss to her family, her friends, to the 
medical profession, and to her country, is great. 
While there is deep sorrow for her earthly death, 
her life has brought pride and gladness to all 
who are interested in the advancement of women 
in medicine and in the cause of Medical Women 
in the Mission Field. 

Very truly, 

Dr. Clara Marshall." 

Dr. Bertha Van Hoosen, who was chief-of- 
staff at the Mary Thompson Hospital for Women 
and Children, in which Dr. Tsao served as in- 
tern for a year, 1911-1912, writes as follows: 

"Dr. Tsao was the first Chinese woman that 
I had ever known. I boldly promised to have an 
internship for her in the Mary Thompson Hos- 
pital, where I was at that time taking all of my 
work. The staff of the hospital were ready to 
appoint her, when they saw how much I wanted 
it. Then came a number of months before she 
was ready to come, and I had plenty of time for 
my ardor to become cooled. I got so that I ac- 
tually dreaded her coming, because of her nation- 
ality, and of the probable prejudice against her. 
But, like a fog before a blaze of sunshine, all my 
fears were scattered by her very presence. Liter- 
ally she came, was seen, and conquered. In less 
than twenty-four hours her position was fixed, 
and it was to be the favorite intern among the 
patients, the interns, and the staff members. A 
little happening in the children's ward, is a good 
illustration of how every one who came into con- 
tact with her felt towards her. A small boy was 
brought to the hospital, that his tonsils might 


be removed. He was given nasty medicine, 
choked to sleep with an anaesthetic, and woke 
with the worst sore throat that he had ever had. 
He resented these insults with manly vigor and 
kicks, scratched and screamed till he was ex- 
hausted. When his auntie came the day follow- 
ing the operation he sobbed out, "Take me home ! 
Take me home! I hate everybody here, I hate 
the nurses, I hate the doctors, I hate everybody 
except the Chinaman, and (here his voice soft- 
ended) , I love the Chinaman." She was voluntar- 
ily entertained by our best patients in their beau- 
tiful homes, and every one who came in contact 
with her felt that she had enriched their lives. 
She opened the way for other women of her race 
who were not so fortunate in personality, but 
who had her example before them, and worked 
hard that her standards should not be lowered. 
Many Chinese women have had medical work in 
Chicago since then, but no one has in any way 
detracted from the glorious memory of Li Yuin 
Tsao. When I visited Dr. Ting in Tientsin in 
the summer of 1923, the first thing that met my 
eyes as I entered the old Chinese home that she 
uses as a hospital, was the picture of Dr. Tsao 
on the wall opposite the entrance. In those few 
days that I spent with Dr. Ting, I sat often and 
gazed at that picture, and felt the fullness of life 
that can be attained in a few years, if the soul 
is tuned to the work of the Master. I was able 
to do some work while in China, and have been 
fortunate in finding ways to reach a helpful hand 
to her since I have returned, but I wonder if 
in the great book of deeds all that I have done 
or can do is not put down to the credit of 
Li Yuin Tsao. 

I am thankful for the opportunity of stop- 


ping long enough these busy days to commune 
with so big a spirit. 

Yours ever, 

Bertha Van Hoosen." 

Dr. Edward W. Saunders, for thirty-five 
years President and chief-of-staff of Bethesda 
Hospital, knew Dr. Tsao during her brief service 
in that hospital as substitute resident physician, 
in the Summer of 1912. He writes as follows : 

During the Summer of A. D. 1912, Dr. Li 
Yuin Tsao held the position of house physician in 
the Bethesda Hospital, St. Louis, and never can 
we forget her services here. Her efficiency, her 
readiness, her Christian zeal, her unfailing devo- 
tion to duty, are an abiding treasure in the lives 
of all who were associated with her; and many 
of the patients there will rise up in that day of 
rewards, and call her blessed. 

She was a "living epistle, known and read 
of all men", from our Father to His suffering 
children. The unifying power of the grace of 
Christ, bringing the Occident and the orient to- 
gether, and making them one in Christ Jesus, 
was beautifully exemplified in her. 

"She has fought the good fight", "She rests 
from her labors", "henceforth there is laid up 
for her a crown". 

We who are yet in the hot battle plains of 
earth, are encouraged by her example to fight on, 
and to thank God for Dr. Li Yuin Tsao, the Chris- 
tian Physician, from the Land of Sinim. 

Edward W. Saunders, M.D., 
President, Bethesda Board. 


In contemplating the loveliness of this life 
lived out for God, one is led to think of her like- 
ness to Mary of Bethany, who, when we first 
hear of her, "She sat at Jesus' feet and heard 
His 'Word/ and was commended by Him as hav- 
ing chosen that good part, which shall not be 
taken away from her." 

Then we read of how Jesus oft returned to 
the home in Bethany for fellowship, and was so 
gladly ministered to by the two sisters and their 
brother. We read how in time of trouble, Laz- 
arus' illness, they sent for Jesus; and, further, 
how He led them into the glorious Resurrection 
truth, raising their dead, and revealing Himself 
as "the Resurrection" and "the Life". Last, we 
read of Mary entering the banquet hall (where 
her brother Lazarus, raised from the dead, is sit- 
ting in fellowship with Jesus at the festal board, 
and Martha is lovingly serving the table), and 
bringing "an alabaster box of ointment of spike- 
nard, very precious; and she brake the box, and 
poured it on His head." "And Jesus said, Let 
her alone. She hath wrought a good work on 
me." "She hath done what she could. Verily 
I say unto you, Wheresoever tlrs gospel shall be 
preached throughout the whole world, this also 
that she hath done shall be spoken of for a memo- 
rial of her." 

It would seem pleasing to our Lord that a 
memorial of the sacrificial service of Dr. Li Yuin 
Tsao should be written and read by others, who 
may be led by the same Holy Spirit, who indwelt 
and so enriched her yielded life, "to yield them- 
selves unto God, as those that are alive from the 
dead, and their members as instruments of right- 
eousness unto God." Dr. Tsao was one of those 
who are "Called and Chosen and Faithful". 


May it please Him to raise up many such 
members of His body in China for the bringing 
in of the other sheep, who must be brought into 
the fold, that His body may be soon completed, 
and that the Lord may come to meet His beloved 
in the air, to take them up with Himself to the 
prepared place. 

"For the Lord himself shall descend from 
heaven with a shout, with the voice of the arch- 
angel, and with the trump of God : and the dead 
in Christ shall rise first: 

Then we wnich are alive and remain shall be 
caught up together with them in the clouds, to 
meet the Lord in the air : and so shall we ever be 
with the Lord. 

Wherefore comfort one another with these 

"He and I, in that bright glory. 

One great joy shall share 
Mine, to be forever with Him, 
His, that I am there." 

P. G. 


BV J427 Dr. i-i Yuin Tsao 


22 493 150 

BV 3427 

. Li Yuln Tsao